Organization Active NPI

Central Coast Allergy and Asthma, a Medical Corporartion

Doing business as Monterey Allergy Clinic

  • Specialist
  • Monterey, CA
National Provider Identifier
1104025287
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0071130MedicaidCA

Other names 1

  • MONTEREY ALLERGY CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.