PLEASANTON ALLERGY AND DERMATOLOGY INC (NPI# 1134466899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134466899 |
| Entity Type | Organization |
| Organization Name | PLEASANTON ALLERGY AND DERMATOLOGY INC |
| Other Organization Name | LIVERMORE ALLERGY MEDICAL CLINIC |
| Practice Address |
2324 Santa Rita Rd Ste 2 Pleasanton CA 94566-4150 |
| Practice Telephone | 9258465100 |
| Practice Fax Number | 9258461982 |
| Mailing Telephone | 9258465100 |
| Mailing Fax Number | 9258461982 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| Authorized Official Name | DR. BETH LYNN COWAN (OWNER/OPERATOR) |
| Authorized Official Telephone | 9258465100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G8589 | CA | Other Service Providers |
| N | 174400000X | Specialist | G62905 | CA | Other Service Providers |
| N | 174400000X | Specialist | A85841 | CA | Other Service Providers |
| Y | 174400000X | Specialist | A66278 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Livermore Allergy Medical Clinic | Former Legal Business Name - Organization |
| Street Address |
2324 SANTA RITA RD STE 2 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861842379 | Oasis Pain and Wellness | Specialist | 6155 Stoneridge Dr Ste 101, Pleasanton, CA 94588-3365 | 2016-06-15 |
| 1831443407 | Kit Y Voit | Specialist | 3102 Snowdrop Cir, Pleasanton, CA 94588-2626 | 2012-11-05 |
| 1497022784 | John Toole | Specialist | 110 E Angela St, Pleasanton, CA 94566-7305 | 2011-11-30 |
| 1497035216 | Barry Winston Shoemaker I | Specialist | 81 Castlewood Dr, Pleasanton, CA 94566-9757 | 2011-08-24 |
| 1447395348 | Mimi J. Stern | Specialist | 3711 Saratoga Way, Pleasanton, CA 94588-3437 | 2007-02-20 |
| 1851476832 | Christopher Chen, M.d., Inc. | Specialist | 4439 Stoneridge Drive, Suite 110, Pleasanton, CA 94588-8339 | 2006-10-26 |
| 1275631178 | California Surgical Associates | Specialist | 5575 W Las Positas Blvd Ste 210, Pleasanton, CA 94588-5802 | 2006-09-21 |
| 1427096452 | Leena K Mehandru | Specialist | 5720 Stoneridge Mall Rd Ste 300, Pleasanton, CA 94588-2831 | 2006-06-03 |
| 1881631257 | Adrian Michael Polit | Specialist | 119a S Smith St, Pleasanton, TX 78064-4111 | 2006-06-02 |
| 1255387932 | Trent Wynn Smith | Specialist | 5725 W. Las Positas Blvd., Suite 210, Pleasanton, CA 94588 | 2006-05-25 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
Please comment or provide details below to improve the information on PLEASANTON ALLERGY AND DERMATOLOGY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.