PATIENT PAYMENT AGENT NPI 1487271300

NPI Information

  • NPI: 1487271300
  • Provider Name: PATIENT PAYMENT AGENT
  • Classification: Allergy & Immunology - 207KI0005X
  • Specialization: Clinical & Laboratory Immunology
  • Entity Type: Organization
  • Doing Business As: MY COMMUNITY TESTING
  • CLIA Number: 05D2305909
  • Address: 750 STORY RD STE 12
    SAN JOSE, CA
    ZIP 95122
  • Phone: (408) 614-7182

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NPI Details

PATIENT PAYMENT AGENT is a clinical and laboratory immunology allergy immunology in San Jose, CA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. PATIENT PAYMENT AGENT NPI is 1487271300. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As My Community Testing.

The provider's business location address is:

750 STORY RD STE 12
SAN JOSE, CA
ZIP 95122-604
Phone: (408) 614-7182

The provider's authorized official is Michael Clifton Mcginnis .
The authorized official title is Lab Director and has the following contact phone number (408) 614-7182.

The CLIA number assigned to this NPI record is 05D2305909 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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