BAZ ALLERGY, ASTHMA & SINUS CENTER (NPI# 1508885781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508885781 |
Entity Type | Organization |
Organization Name | BAZ ALLERGY, ASTHMA & SINUS CENTER |
Practice Address |
1420 Shaw Ave Suite 105 Clovis CA 93611-4072 |
Mailing Address |
7471 N Fresno St Fresno CA 93720-2457 |
Practice Telephone | 5593259990 |
Practice Fax Number | 5597970004 |
Mailing Telephone | 5594364500 |
Mailing Fax Number | 5592611526 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-04-13 |
NPI Deactivation Date | 10/29/2013 |
NPI Reactivation Date | 2015-04-13 |
Authorized Official Name | DR. MALIK NASIR BAZ (CEO/PRESIDENT) |
Authorized Official Telephone | 5594364500 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0043790 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205208675 | Baz Allergy, Asthma & Sinus Center | Allergy & Immunology | 1860 Mowry Ave Ste 400, Fremont, CA 94538-1730 | 2015-10-26 |
Street Address |
1420 SHAW AVE SUITE 105 |
City | CLOVIS |
State | CA |
Zip Code | 93611-4072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942754080 | Swetha Nadipally | Dentist | 1420 Shaw Ave, Suite 101, Clovis, CA 93611-4072 | 2016-08-05 |
1033502141 | Premium Urgent Care, Inc. | Clinic/Center | 1420 Shaw Ave, Ste. 105, Clovis, CA 93611-4072 | 2015-03-13 |
1104109735 | Michelle Mcwilliams | Marriage & Family Therapist | 1420 Shaw Ave, Suite102/181, Clovis, CA 93611-9361 | 2011-09-20 |
1912071473 | Erick N Cuenca | Dentist | 1420 Shaw Ave, Suite 101, Clovis, CA 93611-4072 | 2006-11-17 |
1922185115 | Erick Cuenca, Dmd Inc | Dentist | 1420 Shaw Ave, Suite 101, Clovis, CA 93611-4072 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
Find all providers in zip 93611 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710900634 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 2021 Herndon Ave Ste 102, Clovis, CA 93611-6101 | 2006-07-25 |
1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
1619354248 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 | 2015-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
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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.