San Tan Allergy and Asthma PC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

29558 Issued in AZ

Legal business name

SAN TAN ALLERGY AND ASTHMA PC

Practice address

4915 E Baseline Rd Ste 112
Gilbert, AZ 85234

Phone

(480) 626-6600

Fax

(480) 626-6604

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Sam Reed Shimamoto, MDNPI 1073587382

Title

Owner/Physician

Phone

(480) 626-6600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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

• Sam Reed Shimamoto, M.D.

  • Allergy & Immunology Physician
  • Gilbert, AZ
  • NPI 1073587382
  Medicare reassignment Care Compare group NPD Authorized official
• Laine E Keahey, MD

  • Allergy & Immunology Physician
  • Chandler, AZ
  • NPI 1144244807
  Medicare reassignment Care Compare group NPD
• David Jefferson Reeder, M.D.

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1477937779

  Allergy & Immunology, AZ

  Medicare reassignment Care Compare group NPD
• Corey Wayne Deberry-Seguine, PA-C

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1669921524
  Medicare reassignment Care Compare group
• Kerry Kathleen Berghoff, NP

  • Nurse Practitioner
  • Chandler, AZ
  • NPI 1093095671
  Medicare reassignment NPD
• Jennifer Leigh Hill, M.D.

  • Allergy & Immunology Physician
  • Scottsdale, AZ
  • NPI 1497035604
  Medicare reassignment NPD
• Neal Jain, MD

  • Allergy & Immunology Physician
  • Gilbert, AZ
  • NPI 1356390512
  Medicare reassignment NPD
• Kiranjit Kaur Khalsa, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1720321250
  Medicare reassignment NPD
• Priscilla H Wong, M.D.

  • Allergy & Immunology Physician
  • Roseville, CA
  • NPI 1134353949

  AZ

  Medicare reassignment NPD
• Carly Marie Hopkins, PA-C

  • Physician Assistant
  • Chandler, AZ
  • NPI 1477989291
  Medicare reassignment
• John Gedell, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
  • NPI 1073805511
  NPD (past)
• Heidi Marie Schmidt, PA-C

  • Physician Assistant
  • Gilbert, AZ
  • NPI 1194034942
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1124240510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342966",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 112",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 E Baseline Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342966",
            "country_code": "US",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "708 S Coeur D Alene Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415662",
            "country_code": "US",
            "telephone_number": "480-626-6600",
            "fax_number": "480-626-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN TAN ALLERGY AND ASTHMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "SHIMAMOTO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-626-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "29558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Astrid Sampogna
• Karen G Sampson, NURSE
• Sams West Inc
• Sams West Inc
• Michael Andrew Samuels, MD
• San Tan Behavioral Health Services
• San Tan Behavioral Health Services
• San Tan Behavioral Health Services LLC
• San Tan Dental Group, LLP
• San Tan Eye Care PLC

• Allergy & Immunology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Allergy & Immunology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.