NPIMap

Organization Active NPI

Allergy and Asthma Specialist Doctors, Inc.

  • Allergy & Immunology Physician
  • Pasadena, CA
National Provider Identifier
1245794866
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY AND ASTHMA SPECIALIST DOCTORS, INC.
Practice address
94 N Madison Ave
Pasadena, CA 91101-1740
Phone
(818) 558-5828
Fax
(888) 717-1542
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Marine Demirjian, MDNPI 1669624219
Title
President
Phone
(818) 558-5828

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 & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

94 N Madison Ave
Pasadena, CA 91101-1740

Mailing address

1131 N Pacific Ave
Glendale, CA 91202-2358
Phone (818) 558-5828

Other practice location 1

1135 S Sunset Ave Ste 304
West Covina, CA 91790-3921
Phone (818) 558-5828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190628002637 CA Part B Supplier - Clinic/Group Practice 3779817432 Receives reassigned benefits from 8 practitioners
Practice locations: Glendale, CA; Pasadena, CA; West Covina, CA

National Provider Directory

National Provider Directory

Locations

1131 N Pacific Ave
Glendale, CA 91202
Phone (818) 558-5828

94 N Madison Ave
Pasadena, CA 91101
Phone (626) 792-4171

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1245794866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-558-5828",
            "fax_number": "888-717-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N MADISON AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011740",
            "telephone_number": "818-558-5828",
            "fax_number": "888-717-1542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 S Sunset Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903921",
            "country_code": "US",
            "telephone_number": "818-558-5828",
            "fax_number": "888-717-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA SPECIALIST DOCTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "DEMIRJIAN",
        "authorized_official_first_name": "MARINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-558-5828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.