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ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC NPI 1871550590


NPI Information

NPI: 1871550590
Provider Name: ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC

Doing Business As: ALLERGY & ASTHMA MEDICAL GROUP OF DIABLO VALLEY INC

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 05D2194729

Address:
370 N WIGET LN STE 210
WALNUT CREEK, CA
ZIP 94598
Phone: (925) 935-6252
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ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC is an allergy immunology in Walnut Creek, CA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC NPI is 1871550590. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allergy & Asthma Medical Group Of Diablo Valley Inc.

The provider's business location address is:

370 N WIGET LN STE 210
WALNUT CREEK, CA
ZIP 94598-452
Phone: (925) 935-6252
Fax: (925) 935-7611

The provider's authorized official is Joshua Samuel Jacobs .
The authorized official title is Physician Cfo and has the following contact phone number (925) 935-6252.

The CLIA number assigned to this NPI record is 05D2194729 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/27/2015.


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
1207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ88982ZMEDICARE PINCALIFORNIA

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: 5/5/2024

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