Active NPI
Central Coast Allergy and Asthma, a Medical Corporartion
Doing business as Monterey Allergy Clinic
- Specialist
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CENTRAL COAST ALLERGY AND ASTHMA, A MEDICAL CORPORARTION
- Doing business as
- Monterey Allergy Clinic
- Practice address
- 665 Munras Ave Ste 260
Monterey, CA 93940-3137 - Phone
- (831) 644-0900
- Fax
- (831) 644-9221
- NPI assigned
- Jul 17, 2007
- Last updated
- Jun 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adelina Hernandez, M.A.
- Title
- Accounts Receivable Supervisor
- Phone
- (831) 424-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
665 Munras Ave Ste 260
Monterey, CA 93940-3137
Mailing address
45 E San Joaquin St
Salinas, CA 93901-2903
Phone (831) 644-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0071130 | Medicaid | CA |
Other names 1
- MONTEREY ALLERGY CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050523001153 | CA | Part B Supplier - Clinic/Group Practice | 8527000397 |
Receives reassigned benefits from 11 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monterey, CA; Salinas, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hollister Allergy Clinic
- Specialist
- Hollister, CA
- NPI 1255465712
O20050523001153
-
dba Salinas Allergy Clinic
- Specialist
- Salinas, CA
- NPI 1619037975
O20050523001153
National Provider Directory
National Provider DirectoryLocations
665 Munras Ave
Ste 260
Monterey, CA 93940
Phone (831) 644-0900
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Physician Assistant
- Salinas, CA
- NPI 1245913706
-
- Physician Assistant
- Antioch, CA
- NPI 1528450343
-
- Family Nurse Practitioner
- Monterey, CA
- NPI 1952777484
-
- Allergy & Immunology Physician
- San Luis Obispo, CA
- NPI 1306844279
-
- Physician Assistant
- Concord, CA
- NPI 1407455116
-
- Family Nurse Practitioner
- Montebello, CA
- NPI 1558869099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1104025287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E SAN JOAQUIN ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939012903",
"telephone_number": "831-644-0900",
"fax_number": "831-644-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 MUNRAS AVE STE 260",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403137",
"telephone_number": "831-644-0900",
"fax_number": "831-644-9221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COAST ALLERGY AND ASTHMA, A MEDICAL CORPORARTION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ADELINA",
"authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
"authorized_official_telephone_number": "831-424-3300",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071130",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MONTEREY ALLERGY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monterey, CA
- Domenick Cava, DPT
- Masha Cavazos
- Cristina Cazares
- Tina Cazares
- Lani May Aquino Centeno, OD
- Central Coast Audiology Incorporated (Oregon Audiology of Portland)
- Central Coast Cardiology a Medical Corporation
- Central Coast Community Health Care, Inc.
- Central Coast Dermatology, Inc.
- Central Coast Head & Neck Surdeons a M C Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.