Organization Active NPI

East Valley Allergy & Asthma Center, Inc.

  • Allergy & Immunology Physician
  • Gilbert, AZ
National Provider Identifier
1124298468
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
29731 Issued in AZ
Legal business name
EAST VALLEY ALLERGY & ASTHMA CENTER, INC.
Practice address
3491 S Mercy Rd
Suite #101
Gilbert, AZ 85297-0433
Phone
(480) 855-9119
Fax
(480) 855-9120
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Doina L Lapusan, M.D.NPI 1942273701
Title
Owner
Phone
(480) 855-9119

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 & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 29731 AZ Primary

Addresses

Primary practice location

3491 S Mercy Rd
Suite #101
Gilbert, AZ 85297-0433

Mailing address

3491 S Mercy Rd
Suite #101
Gilbert, AZ 85297-0433
Phone (480) 855-9119

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000431 AZ Part B Supplier - Clinic/Group Practice 7315839982 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

485 S Dobson Rd
Ste 202
Chandler, AZ 85224
Phone (480) 855-9119

3491 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 855-9119

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1124298468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 S MERCY RD",
            "address_2": "SUITE #101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970433",
            "telephone_number": "480-855-9119",
            "fax_number": "480-855-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 S MERCY RD",
            "address_2": "SUITE #101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970433",
            "telephone_number": "480-855-9119",
            "fax_number": "480-855-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY ALLERGY & ASTHMA CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "LAPUSAN",
        "authorized_official_first_name": "DOINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-855-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "29731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.