Organization Active NPI

Bay Area Allergy & Asthma Inc

  • Allergy Physician
  • St Petersburg, FL
National Provider Identifier
1083751580
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
ME88726 Issued in FL
Legal business name
BAY AREA ALLERGY & ASTHMA INC
Practice address
4965 Central Ave
St Petersburg, FL 33710-8239
Phone
(727) 327-5719
Fax
(727) 322-6146
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Dr. Mona Vishin Mangat, MDNPI 1972671824
Title
President
Phone
(727) 327-5719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X ME88726 FL Primary

Addresses

Primary practice location

4965 Central Ave
St Petersburg, FL 33710-8239

Mailing address

4965 Central Ave
St Petersburg, FL 33710-8239
Phone (727) 327-5719

Other practice location 1

4200 4th St N
St Petersburg, FL 33703-4735
Phone (727) 327-5719

Other identifiers 2

IdentifierTypeStateIssuer
270694600MedicaidFL
009866000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070424000334 FL Part B Supplier - Clinic/Group Practice 9436254216 Receives reassigned benefits from 2 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

4200 4th St N
Ste D
St Petersburg, FL 33703
Phone (727) 327-5719

4965 Central Ave
St Petersburg, FL 33710
Phone (727) 327-5719

4200 4th St N
Ste 3
St Petersburg, FL 33703

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1083751580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108239",
            "telephone_number": "727-327-5719",
            "fax_number": "727-322-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108239",
            "telephone_number": "727-327-5719",
            "fax_number": "727-322-6146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337034735",
            "country_code": "US",
            "telephone_number": "727-327-5719",
            "fax_number": "727-322-6146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA ALLERGY & ASTHMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "VISHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-327-5719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "ME88726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270694600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009866000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.