Mountainside Allergy and Immunology Group

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP

Practice address

4801 J St Ste B
Sacramento, CA 95819-3746

Phone

(916) 452-6222

Fax

(916) 451-5534

NPI assigned

Feb 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sean Deane, M.D.

Title

President

Phone

(916) 452-6222

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Norman Cloninger, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Sacramento, CA
  • NPI 1114903457
  NPD (past)
• John David Saylor, MD

  • Allergy & Immunology Physician
  • Oceanside, CA
  • NPI 1518945955
  NPD (past)

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1306118294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19066",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958190066",
            "telephone_number": "916-452-6222",
            "fax_number": "916-451-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 J ST STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193746",
            "telephone_number": "916-452-6222",
            "fax_number": "916-451-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "DEANE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-452-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GM857A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DT7846",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Nicole Moultrie, PT
• Mountain Valley Child and Family Services, Inc.
• Mountain Valley Child and Family Services, Inc.
• Mountain Valley Child and Family Services, Inc.
• Mountain West Non-Emergency Medical Transportation, LLC
• Allan Douglas Mounts, PH.D.
• Yetzenia Moura, FNP
• Hossein Mousavi, MD
• Kareem Moussa, MD
• Briana Christine Mouzon

• Allergy & Immunology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.