Active NPI
Alpine Allergy and Asthma Associates Inc
- Dermatology Physician
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
- Practice address
- 3254 Professional Drive
Auburn, CA 95602-2412 - Phone
- (530) 888-1016
- Fax
- (530) 888-1346
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 23, 2008
- Organization subpart
- Yes
- Parent organization
- ALPINE ALLERGY AND ASTHMA ASSOCIATES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Lacey McCormick, M.D.
- Title
- Secretary
- Phone
- (530) 888-1016
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | CA | ||
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
3254 Professional Drive
Auburn, CA 95602-2412
Mailing address
300 Sierra College Dr
Ste 235
Grass Valley, CA 95945-5082
Phone (530) 273-6530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050104001116 | CA | Part B Supplier - Clinic/Group Practice | 9830147057 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Auburn, CA; Grass Valley, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Allergy & Immunology Physician
- Grass Valley, CA
- NPI 1548345069
O20050104001116
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1045307 | Alpine Allergy and Asthma Associates Inc | Provider-performed microscopy | Mar 27, 2027 |
National Provider Directory
National Provider Directory- Part of
- Alpine Allergy and Asthma Associates Inc
Locations
3254 Professional Dr
Auburn, CA 95602
Phone (530) 888-1016
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Dermatology Physician
- Auburn, CA
- NPI 1316023484
-
- Allergy Physician
- Grass Valley, CA
- NPI 1235215302
-
- Nurse Practitioner
- Sacramento, CA
- NPI 1376625582
-
- Physician Assistant
- Sacramento, CA
- NPI 1356996110
-
- Physician Assistant
- Sacramento, CA
- NPI 1033560784
-
- Physician Assistant
- Anaheim, CA
- NPI 1164670592
-
- Medical Physician Assistant
- Sacramento, CA
- NPI 1265710396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1366527889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SIERRA COLLEGE DR",
"address_2": "STE 235",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455082",
"telephone_number": "530-273-6530",
"fax_number": "530-273-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3254 PROFESSIONAL DRIVE",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022412",
"telephone_number": "530-888-1016",
"fax_number": "530-888-1346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE ALLERGY AND ASTHMA ASSOCIATES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALPINE ALLERGY AND ASTHMA ASSOCIATES INC",
"enumeration_date": "2006-10-25",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "MCCORMICK",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "LACEY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "530-888-1016",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.