Organization Active NPI

Allergy, Asthma & Sinus Centers of Silicon Valley, Inc.

  • Allergy Physician
  • Castro Valley, CA
National Provider Identifier
1609210590
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY, INC.
Practice address
20400 Lake Chabot Rd Ste 304
Castro Valley, CA 94546-5316
Phone
(510) 537-0700
Fax
(510) 537-7795
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Kenneth W Lien, MDNPI 1396823092
Title
President
Phone
(510) 537-0700

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 Primary

Addresses

Primary practice location

20400 Lake Chabot Rd Ste 304
Castro Valley, CA 94546-5316

Mailing address

20400 Lake Chabot Rd Ste 304
Castro Valley, CA 94546-5316
Phone (510) 537-0700

Other identifiers 1

IdentifierTypeStateIssuer
CA110780OtherCAGRP PTAN FOR ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108000347 CA Part B Supplier - Clinic/Group Practice 8527294578 Receives reassigned benefits from 1 practitioner
Practice locations: Castro Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1609210590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD STE 304",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465316",
            "telephone_number": "510-537-0700",
            "fax_number": "510-537-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD STE 304",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465316",
            "telephone_number": "510-537-0700",
            "fax_number": "510-537-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "LIEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-537-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP PTAN FOR ALLERGY, ASTHMA & SINUS CENTERS OF SILICON VALLEY",
            "identifier": "CA110780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.