NPIMap

Organization Active NPI

Allergy & Asthma Associates of Southern Calif Inc

  • Allergy Physician
  • Laguna Niguel, CA
National Provider Identifier
1164523122
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY & ASTHMA ASSOCIATES OF SOUTHERN CALIF INC
Practice address
28202 Cabot Rd Ste 105
Laguna Niguel, CA 92677-1247
Phone
(949) 364-2900
Fax
(949) 365-0117
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mrs. Dana Sims
Title
Administrator
Phone
(949) 364-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

28202 Cabot Rd Ste 105
Laguna Niguel, CA 92677-1247

Mailing address

28202 Cabot Rd Ste 105
Laguna Niguel, CA 92677-1247
Phone (949) 364-2900

Other practice location 1

15785 Laguna Canyon Rd Ste 100
Irvine, CA 92618-3166
Phone (949) 364-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000706 CA Part B Supplier - Clinic/Group Practice 9638260664 Receives reassigned benefits from 10 practitioners
Practice locations: Irvine, CA; Mission Viejo, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2310581Allergy & Asthma Associates of Southern California28202 Cabot Rd Ste 105, Laguna Niguel, CA 92677Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

Locations

27800 Medical Center Rd
Ste 244
Mission Viejo, CA 92691
Phone (949) 364-2900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 10

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1164523122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 105",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771247",
            "telephone_number": "949-364-2900",
            "fax_number": "949-365-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 105",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771247",
            "telephone_number": "949-364-2900",
            "fax_number": "949-365-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15785 Laguna Canyon Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183166",
            "country_code": "US",
            "telephone_number": "949-364-2900",
            "fax_number": "949-365-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES OF SOUTHERN CALIF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-364-2900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.