NPIMap

Organization Active NPI

Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Fresno, CA
National Provider Identifier
1184902405
Registry record updated Jun 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.
Practice address
505 N Clovis Ave
Fresno, CA 93727-2617
Phone
(559) 981-5040
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2017

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

Authorized official

Name
Dr. Malik Baz, M.D.NPI 1114923307
Title
Cfo/Vice President
Phone
(559) 436-4500

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

505 N Clovis Ave
Fresno, CA 93727-2617

Mailing address

7471 N. Fresno Street
Fresno, CA 93720-2457
Phone (559) 436-4500

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ21572ZOtherCAMEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ ALLERGY, ASTHMA & SINUS CENTER
GR0043790MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000791 CA Part B Supplier - Clinic/Group Practice 6507770716 Receives reassigned benefits from 51 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Visalia, CA; Turlock, CA; Selma, CA; Reedley, CA; Modesto, CA; Merced, CA; Madera, CA; Los Banos, CA…

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

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
05D2201782Baz Allergy Asthma and Sinus Center505 North Clovis Ave, Fresno, CA 93727Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497052800000",
    "number": "1184902405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N. FRESNO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CLOVIS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937272617",
            "telephone_number": "559-981-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2017-06-10",
        "status": "A",
        "authorized_official_last_name": "BAZ",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT",
        "authorized_official_telephone_number": "559-436-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ ALLERGY, ASTHMA & SINUS CENTER",
            "identifier": "ZZZ21572Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2017; 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.