South Bay Allergy & Asthma Group Inc

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

G12038 Issued in CA

Legal business name

SOUTH BAY ALLERGY & ASTHMA GROUP INC

Practice address

2211 Moorpark Av
Suite 130
San Jose, CA 95128-2625

Phone

(408) 286-1744

Fax

(408) 286-1707

NPI assigned

Sep 25, 2007

Last updated

Jun 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anlin Xu, MDNPI 1285681007

Title

President

Phone

(408) 286-1707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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.

• Anlin Xu, M.D.

  • Allergy Physician
  • San Jose, CA
  • NPI 1285681007
  Medicare reassignment Care Compare group Authorized official
• John S. Kellogg, M.D., M.S.

  • Allergy Physician
  • San Jose, CA
  • NPI 1932149697
  Medicare reassignment Care Compare group
• Katharine Sue Nelson, MD

  • Allergy & Immunology Physician
  • San Jose, CA
  • NPI 1497921811
  Medicare reassignment Care Compare group
• June Y Zhang, MD

  • Allergy & Immunology Physician
  • San Mateo, CA
  • NPI 1174787170
  Medicare reassignment Care Compare group
• Jacqueline Tan, PA-C

  • Allergy & Immunology Physician
  • San Jose, CA
  • NPI 1811619349
  Medicare reassignment

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1649467556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AV",
            "address_2": "SUITE 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282625",
            "telephone_number": "408-286-1744",
            "fax_number": "408-286-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AV",
            "address_2": "SUITE 130",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282625",
            "telephone_number": "408-286-1744",
            "fax_number": "408-286-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY ALLERGY & ASTHMA GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "ANLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-286-1707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "G12038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimseng Soung
• Cecilia Miranda Sousa
• Janean Sousa, RDHAP
• Raquel Sousa
• Tiffany R Sousa
• South Bay Bariatrics Medical Corporation PC
• South Bay Brain and Spine
• South Bay Brain and Spine
• South Bay Cardiology
• South Bay Cardiovascular Medical Group, Inc

• Allergy Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.