NPIMap

Organization Active NPI

Baz Allergy, Asthma & Sinus Center, Inc.

  • Allergy Physician
  • Clovis, CA
National Provider Identifier
1619354248
Registry record updated Jun 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.
Practice address
2021 Herndon Ave
Suite 101
Clovis, CA 93611-6101
Phone
(559) 436-4500
NPI assigned
May 4, 2015
Last updated
Jun 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2017

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

Authorized official

Name
Malik N Baz, MDNPI 1114923307
Title
Ceo/President
Phone
(559) 436-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X NU Primary

Addresses

Primary practice location

2021 Herndon Ave
Suite 101
Clovis, CA 93611-6101

Mailing address

7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500

Other identifiers 2

IdentifierTypeStateIssuer
GR0043790MedicaidCA
ZZZ21572ZOtherCAGRP MCARE PTAN FOR BAZ ALLERGHY ASTHMA SINUS CENTER

National Provider Directory

National Provider Directory
Tax ID family
Baz Allergy Asthma Sinus Center Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the 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, 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": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497052800000",
    "number": "1619354248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116101",
            "telephone_number": "559-436-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAZ ALLERGY, ASTHMA & SINUS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2017-06-10",
        "status": "A",
        "authorized_official_last_name": "BAZ",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "559-436-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MCARE PTAN FOR BAZ ALLERGHY ASTHMA SINUS CENTER",
            "identifier": "ZZZ21572Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.