Active NPI
Premium Allergy
- Allergy & Immunology (Internal Medicine) Physician
- Fresno, CA
National Provider Identifier
1497511208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- Legal business name
- PREMIUM ALLERGY
- Practice address
- 7471 N Fresno St
Fresno, CA 93720-2457 - Phone
- (559) 494-4446
- NPI assigned
- Feb 28, 2024
- Organization subpart
- Yes
- Parent organization
- PREMIUM ALLERGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Sabry, MD
- Title
- Owner
- Phone
- (559) 494-4446
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 (Internal Medicine) Physician | 207RA0201X | Primary | ||
| Pediatric Allergy/Immunology Physician | 2080P0201X |
Addresses
Primary practice location
7471 N Fresno St
Fresno, CA 93720-2457
Mailing address
2021 Herndon Ave Ste 201
Clovis, CA 93611-6317
Phone (559) 387-5230
Other names 1
- Premium Allergy & Respiratory Center
National Provider Directory
National Provider Directory- Tax ID family
- Premium Allergy
- Part of
- Premium Allergy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Clovis, CA
- NPI 1255125563
-
- Allergy & Immunology Physician
- Fresno, CA
- NPI 1578331153
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy Physician
- Fresno, CA
- NPI 1811297427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709078400000",
"number": "1497511208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 HERNDON AVE STE 201",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116317",
"telephone_number": "559-387-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7471 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202457",
"telephone_number": "559-494-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM ALLERGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIUM ALLERGY",
"enumeration_date": "2024-02-28",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A",
"authorized_official_last_name": "SABRY",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-494-4446",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premium Allergy & Respiratory Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.