Pacific Coast Allergy

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

PA14562 Issued in CA

Legal business name

PACIFIC COAST ALLERGY

Practice address

1585 S Railroad Ave
Crescent City, CA 95531-6821

Phone

(707) 464-3430

Fax

(707) 464-4668

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By 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

Ms. Elise K. Williams, PA-C

Title

Physician Assistant Certified

Phone

(707) 464-3430

Specialties & licenses 1

Addresses

Locations

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.

• Christopher C Chang, MD

  • Allergy & Immunology Physician
  • Hollywood, FL
  • NPI 1205850732
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1871754432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-3430",
            "fax_number": "707-464-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-3430",
            "fax_number": "707-464-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT CERTIFIED",
        "authorized_official_telephone_number": "707-464-3430",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "PA14562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Door Community Health Centers (Del Norte Mobile Health Services)
• Open Door Community Health Centers (Del Norte Community Health Center)
• Griselda Orat, RPH
• Alissa Michelle Oulman-Kirkpatrick, IBCLC
• Frank Oxford, RN
• Pacific Northwest Physical Therapy
• Pacific Northwest Physical Therapy
• Pacific Vision Medical Center
• Pacific Vision Medical Center
• Marcus T Padilla

• Medical Specialty Clinic/Center in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.