NPIMap

Organization Active NPI

Central Coast Allergy and Asthma

Doing business as Salinas Allergy Clinic

  • Specialist
  • Salinas, CA
National Provider Identifier
1619037975
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL COAST ALLERGY AND ASTHMA
Doing business as
Salinas Allergy Clinic
Practice address
45 E San Joaquin St
Salinas, CA 93901-2903
Phone
(831) 424-3300
Fax
(831) 758-4094
NPI assigned
Dec 9, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Michael Elissa Smotherman
Title
Credentialing Liaison
Phone
(775) 674-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

45 E San Joaquin St
Salinas, CA 93901-2903

Mailing address

45 E San Joaquin St
Salinas, CA 93901-2903
Phone (831) 424-3300

Other identifiers 1

IdentifierTypeStateIssuer
GR0071130MedicaidCA

Other names 1

  • Salinas Allergy Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523001153 CA Part B Supplier - Clinic/Group Practice 8527000397 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
Practice locations: Monterey, CA; Salinas, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

45 E San Joaquin St
Salinas, CA 93901
Phone (831) 424-3300

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1619037975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E SAN JOAQUIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-424-3300",
            "fax_number": "831-758-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E SAN JOAQUIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012903",
            "telephone_number": "831-424-3300",
            "fax_number": "831-758-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST ALLERGY AND ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "SMOTHERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ELISSA",
        "authorized_official_title_or_position": "CREDENTIALING LIAISON",
        "authorized_official_telephone_number": "775-674-5668"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salinas Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.