MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP (NPI# 1306118294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118294 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP |
| Practice Address |
4801 J St Ste B Sacramento CA 95819-3746 |
| Mailing Address |
Po Box 19066 Sacramento CA 95819-0066 |
| Practice Telephone | 9164526222 |
| Practice Fax Number | 9164515534 |
| Mailing Telephone | 9164526222 |
| Mailing Fax Number | 9164515534 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | DR. SEAN DEANE (PRESIDENT) |
| Authorized Official Telephone | 9164526222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE GROUP PTAN | DT7846 | 01 | |
| MEDICARE PTAN | GM857A | 01 |
| Street Address |
4801 J ST STE B |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95819-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808076 | Ashley Dumont | Naturopath | Zen Dermatology, 4801 J St, Sacramento, CA 95819 | 2020-10-12 |
| 1053893347 | Sacramento Foot and Ankle Center, Inc. | Podiatrist | 5030 J St Ste 300, Sacramento, CA 95819 | 2018-09-04 |
| 1558881557 | Herrfeldt Business Ventures Inc | In Home Supportive Care | 5363 H Street, Suite A, Sacramento, CA 95819 | 2017-06-21 |
| 1205288222 | Jerad Eugene Morris | Registered Nurse | 3939 J Street, Suite 310, Sacramento Anesthesia Medical Group, Sacramento, CA 95819 | 2016-07-02 |
| 1114306289 | Sacramento Skilled Nursing and Long Term Care Medical Group Inc. | Internal Medicine | 1133 42 Nd Street, Sacramento, CA 95819 | 2015-05-22 |
| 1366708901 | Beverly Lynne Meier-hanaway | Nurse Practitioner | 5151 F Street, Sutter Memorial Hospital, Sacramento, CA 95819 | 2012-04-09 |
| 1225319015 | Kaitlin J Nicoletti | Anesthesiology | 3939 J Street Suite 310, Sacramento, CA 95819 | 2011-09-07 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1265605273 | Earl Willis Weyers | Anesthesiology | 3939 J St Ste 310, Sacramento, CA 95819 | 2008-04-10 |
| 1376744599 | Jennifer E Keller | Surgery | 5725 F Street, Suite 3, Sacramento, CA 95819 | 2007-05-29 |
| Find all providers in zip 95819 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1407880719 | Pulmonary Medicine Associates Medical Group, Inc | Allergy & Immunology | 1300 Ethan Way, Suite 600, Sacramento, CA 95825-2211 | 2006-07-10 |
| 1952531030 | Neil G. Parikh | Allergy & Immunology | 5609 J Street, Suite C, Sacramento, CA 95819 | 2009-07-22 |
| 1083872196 | Marc David Ikeda | Allergy & Immunology | 6600 Bruceville Rd, Mob 3 - Suite 233, Sacramento, CA 95823-4671 | 2008-05-26 |
| 1083748685 | Ali Amirzadeh | Allergy & Immunology | 3000 Q St Fl 2, Sacramento, CA 95816-7058 | 2007-03-15 |
| 1598843252 | Christopher Jakle | Allergy & Immunology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1518045285 | Efraim Lavi | Allergy & Immunology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1487732129 | Gordon Garcia | Allergy & Immunology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1669550158 | Stamatiki S. Coss | Allergy & Immunology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2006-11-01 |
| 1902814056 | Robert D. Watson | Allergy & Immunology | 3160 Folsom Blvd, Sacramento, CA 95816-5219 | 2006-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95819 |
Please comment or provide details below to improve the information on MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP.
| 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.