Active NPI
Alpine Allergy and Asthma Associates Inc
- Dermatology Physician
- Auburn, CA
National Provider Identifier
1366527889
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
- 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0100570 | Medicaid | CA | |
| ZZZ64413 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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 Asthma Asso
Practitioners & affiliated clinicians
Practitioners 7
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": "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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ64413",
"state": "CA"
}
],
"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.