Pleasanton Allergy and Dermatology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A66278 Issued in CA

Legal business name

PLEASANTON ALLERGY AND DERMATOLOGY INC

Practice address

2324 Santa Rita Rd Ste 2
Pleasanton, CA 94566-4150

Phone

(925) 846-5100

Fax

(925) 846-1982

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Beth Lynn Cowan, M.D.NPI 1376552059

Title

Owner/Operator

Phone

(925) 846-5100

Specialties & licenses 4

Addresses

Other names 1

• Livermore Allergy Medical Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

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

• Beth L Cowan, MD

  • Obstetrics & Gynecology Physician
  • Hayward, CA
  • NPI 1376552059

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Richard Francis Burroughs, M.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1649250101

  CA

  Medicare reassignment Care Compare group NPD
• William C. Chow, D.O.

  • Specialist
  • Oakland, CA
  • NPI 1417981192
  Medicare reassignment NPD
• Farinaz Farrahi, MD

  • Allergy & Immunology Physician
  • San Leandro, CA
  • NPI 1174661227
  Medicare reassignment NPD
• Sarah Coates, MD

  • Dermatology Physician
  • Portland, OR
  • NPI 1114306115

  CA

  Medicare reassignment NPD
• Dean G. Kardassakis, MD

  • Allergy Physician
  • San Francisco, CA
  • NPI 1811906571
  Medicare reassignment
• Jetaun Mills

  • Marriage & Family Therapist
  • Oakland, CA
  • NPI 1942698352
  NPD

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1134466899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD STE 2",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664150",
            "telephone_number": "925-846-5100",
            "fax_number": "925-846-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD STE 2",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664150",
            "telephone_number": "925-846-5100",
            "fax_number": "925-846-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTON ALLERGY AND DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "925-846-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66278",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G8589",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62905",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A85841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livermore Allergy Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Danielle Pierre
• Roger D. Pirtle, LCSW
• Plastic and Reconstructive Surgery
• Aaron Platfoot
• Erin Platt, MOTRL
• Pleasanton Diagnostic Imaging, Inc.
• Pleasanton Emergency Medical Group
• Pleasanton Medical Group
• Pleasanton Optometry, Inc.
• Pleasanton Physical Therapy Services, Inc.

• Specialist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.