North Bay Allergy and Asthma

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

NORTH BAY ALLERGY AND ASTHMA

Doing business as

North Bay Allergy and Asthma Associates Inc.

Practice address

1100 Pear Tree Lane
Napa, CA 94558

Phone

(707) 258-8100

Fax

(707) 258-0734

NPI assigned

Aug 24, 2006

Last updated

Apr 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam S Ahn, MDNPI 1558423814

Title

Owner

Phone

(707) 258-8100

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• North Bay Allergy and Asthma Associates Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Sam S Ahn, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Napa, CA
  • NPI 1558423814
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Rose Keenan, FNP

  • Nurse Practitioner
  • Napa, CA
  • NPI 1972022465
  Medicare reassignment Care Compare group NPD
• Kathleen Tajiri, MD

  • Allergy & Immunology Physician
  • Napa, CA
  • NPI 1689624983
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1184731184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586446",
            "telephone_number": "707-258-8100",
            "fax_number": "707-258-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEAR TREE LANE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-258-8100",
            "fax_number": "707-258-0734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 W Napa St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954766519",
            "country_code": "US",
            "telephone_number": "707-996-0212",
            "fax_number": "707-258-0734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH BAY ALLERGY AND ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-258-8100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN)",
            "identifier": "ZZZ07211Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ51160Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN)",
            "identifier": "ZZZ06909Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ51159Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Allergy and Asthma Associates Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Bay Allergy and Asthma Associates Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Napa, CA
• Providers in Napa, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.