Organization Active NPI

Family Allergy, Asthma, Immunology & Sinus Center P.C.

  • Allergy Physician
  • Poway, CA
National Provider Identifier
1265628309
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
A63974 Issued in CA
Legal business name
FAMILY ALLERGY, ASTHMA, IMMUNOLOGY & SINUS CENTER P.C.
Practice address
15725 Pomerado Rd Ste 218
Poway, CA 92064-2060
Phone
(858) 521-0806
Fax
(858) 521-0808
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Maryam Zarei, MDNPI 1982649505
Title
Owner
Phone
(858) 521-0806

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 A63974 CA Primary

Addresses

Primary practice location

15725 Pomerado Rd Ste 218
Poway, CA 92064-2060

Mailing address

15725 Pomerado Rd Ste 218
Poway, CA 92064-2060
Phone (858) 521-0806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000645 CA Part B Supplier - Clinic/Group Practice 6406930007 Receives reassigned benefits from 2 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

15644 Pomerado Rd
Ste 204
Poway, CA 92064
Phone (858) 451-5740

15725 Pomerado Rd
Ste 103
Poway, CA 92064
Phone (858) 521-0806

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1265628309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 218",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-521-0806",
            "fax_number": "858-521-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 POMERADO RD STE 218",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642060",
            "telephone_number": "858-521-0806",
            "fax_number": "858-521-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLERGY, ASTHMA, IMMUNOLOGY & SINUS CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAREI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-521-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A63974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.