Organization Active NPI

Allergy & Immunology Center Inc

  • Medical Specialty Clinic/Center
  • Encino, CA
National Provider Identifier
1255071635
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ALLERGY & IMMUNOLOGY CENTER INC
Practice address
16661 Ventura Blvd Ste 311
Encino, CA 91436-1955
Phone
(310) 867-3480
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Dr. Ryan Shilian, DONPI 1598144032
Title
Director
Phone
(310) 867-3480

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 311
Encino, CA 91436-1955

Mailing address

5333 Veloz Ave
Tarzana, CA 91356-4127
Phone (310) 867-3480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220612000002 CA Part B Supplier - Clinic/Group Practice 6204214737 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 311
Encino, CA 91436
Phone (310) 567-3480

16661 Ventura Blvd
Ste 409
Encino, CA 91436
Phone (818) 788-4303

Practitioners & affiliated clinicians

Practitioners 1

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": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1255071635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 VELOZ AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564127",
            "telephone_number": "310-867-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 311",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361955",
            "telephone_number": "310-867-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & IMMUNOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "SHILIAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-867-3480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.