San Diego Allergy, Asthma & Immunology Consultants, Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G69281 Issued in CA

Legal business name

SAN DIEGO ALLERGY, ASTHMA & IMMUNOLOGY CONSULTANTS, INC

Practice address

4150 Regents Park Row Ste 321
La Jolla, CA 92037-9124

Phone

(619) 291-5800

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Bernard A Feigenbaum, M.D.NPI 1639115652

Title

President

Phone

(619) 909-8209

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Bernard A Feigenbaum, M.D.

  • Allergy & Immunology Physician
  • Brentwood, CA
  • NPI 1639115652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1013356468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PASEO VILLAGE WAY APT 2622",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303271",
            "telephone_number": "619-291-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 321",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "619-291-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO ALLERGY, ASTHMA & IMMUNOLOGY CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "FEIGENBAUM",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-909-8209",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G69281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in La Jolla, CA
• Providers in La Jolla, 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 May 16, 2023; 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.