ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC


Address: 370 N Wiget Ln Ste 210, Walnut Creek, CA 94598-2452
Phone: 9259356252

ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC (NPI# 1871550590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871550590
Entity Type Organization
Organization Name ALLERGY & ASTHMA MEDICAL GROUP OF THE BAY AREA INC
Other Organization Name ALLERGY & ASTHMA MEDICAL GROUP OF DIABLO VALLEY INC
Practice Address 370 N Wiget Ln Ste 210
Walnut Creek
CA 94598-2452
Practice Telephone 9259356252
Practice Fax Number 9259357611
Mailing Telephone 9259356252
Mailing Fax Number 9259357611
Enumeration Date 2006-04-27
Last Update Date 2015-02-27
Authorized Official Name JOSHUA SAMUEL JACOBS (PHYSICIAN CFO)
Authorized Official Telephone 9259356252
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Allergy & Asthma Medical Group of Diablo Valley Inc Doing Business As Name - Organization

Office Location

Street Address 370 N WIGET LN STE 210
City WALNUT CREEK
State CA
Zip Code 94598-2452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861781056 Roy Anthony Orden Allergy & Immunology 370 N Wiget Ln Ste 210, Walnut Creek, CA 94598-2452 2011-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
Find all providers in zip 94598

Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902930753 Allyson Tracy Tevrizian Allergy & Immunology 130 La Casa Via Ste 209 Bldg 2, Walnut Creek, CA 94598-3034 2007-03-15
1023010030 Nathan David Schultz Allergy & Immunology 130 La Casa Via, Bldg 2, Ste 209, Walnut Creek, CA 94598-3045 2005-08-10
1407148943 Ilisten Marie Jones Allergy & Immunology 370 N Wiget Ln, Suite 210, Walnut Creek, CA 94598-2488 2011-05-03
1861781056 Roy Anthony Orden Allergy & Immunology 370 N Wiget Ln Ste 210, Walnut Creek, CA 94598-2452 2011-03-29
1982738712 Fannie Wyndy Su Allergy & Immunology 130 La Casa Via, Bldg 2 Suite 209, Walnut Creek, CA 94598-3045 2007-03-15
1386786408 Cynthia Ashbrook Allergy & Immunology 1450 Treat Blvd, Suite 300, Walnut Creek, CA 94597-2168 2007-02-13
1558440222 Eric M. Chen Allergy & Immunology 320 Lennon Ln, Walnut Creek, CA 94598-2419 2006-11-03
1497833594 Linda K. Schultz Allergy & Immunology 320 Lennon Ln, Walnut Creek, CA 94598-2419 2006-11-02
1720164536 Karna Gendo Allergy & Immunology 130 La Casa Via, Building 2, Suite 209, Walnut Creek, CA 94598-3045 2006-10-27
1215920673 Joshua Samuel Jacobs Allergy & Immunology 130 La Casa Via, Bldg 2, # 209, Walnut Creek, CA 94598-3045 2005-08-31
Find all providers in WALNUT CREEK

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City WALNUT CREEK
Zip Code 94598

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Dataset Information

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.

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