TLC Allergy and Asthma Associates Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A068959 Issued in CA

Legal business name

TLC ALLERGY AND ASTHMA ASSOCIATES INC

Practice address

1076 E 1St St Ste B
Tustin, CA 92780-3852

Phone

(714) 838-2617

NPI assigned

Jul 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Otto Liao, M.D.NPI 1225042674

Title

Ceo

Phone

(714) 838-2617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otto Liao, M.D.

  • Allergy & Immunology Physician
  • Tustin, CA
  • NPI 1225042674
  Medicare reassignment NPD Authorized official
• Scott A Harman, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1124071311
  NPD (past)
• Eric K Lizerbram, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1598718926
  NPD (past)
• Alan L Lurie, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1023069606
  NPD (past)
• Andrew G Malcolm, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1477504199
  NPD (past)
• Rowena Gregorio Tena, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1629029335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1003820770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-838-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E 1ST ST STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803852",
            "telephone_number": "714-838-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC ALLERGY AND ASTHMA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-838-2617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A068959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Tilka
• Tim Franks Inc
• Tameika Timmons, LCSW
• Nadia Tiongson
• TJ Tsay MD
• Jimmy To, PHARMD
• Bree Ashley Tollman
• Kimberly Suzanne Tollman, LMFT
• James Patrick Toner, D.D.S.
• Chanakan Tongklang

• Allergy & Immunology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.