NPIMap

Organization Active NPI

Los Angeles Food Allergy Institute, Inc.

  • Allergy Physician
  • Burbank, CA
National Provider Identifier
1215558341
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
LOS ANGELES FOOD ALLERGY INSTITUTE, INC.
Practice address
201 S Buena Vista St # 310
Burbank, CA 91505-4569
Phone
(818) 561-4533
Fax
(818) 561-4534
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Krikor H Manoukian, MDNPI 1740519586
Title
Medical Director
Phone
(818) 561-4533

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207K00000X
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X Primary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RA0201X

Addresses

Primary practice location

201 S Buena Vista St # 310
Burbank, CA 91505-4569

Mailing address

201 S Buena Vista St # 310
Burbank, CA 91505-4569
Phone (818) 561-4533

Other names 2

  • AllergyDox Doing business as
  • Hey Allergy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426000290 CA Part B Supplier - Clinic/Group Practice 5395153704 Receives reassigned benefits from 5 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

201 S Buena Vista St
Ste 310
Burbank, CA 91505
Phone (818) 561-4533

201 S Buena Vista St
#310
Burbank, CA 91505
Phone (818) 435-2257

800 S Central Ave
Ste 303
Glendale, CA 91204
Phone (818) 435-2257

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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1215558341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST # 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-561-4533",
            "fax_number": "818-561-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST # 310",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-561-4533",
            "fax_number": "818-561-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES FOOD ALLERGY INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "MANOUKIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-561-4533",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllergyDox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hey Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.