Livermore Allergy Medical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LIVERMORE ALLERGY MEDICAL CLINIC

Practice address

2324 Santa Rita Rd
Pleasanton, CA 94566-4152

Phone

(925) 846-5100

Fax

(925) 846-4982

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Beth Lynn Cowan, M.D.

Title

MD

Phone

(925) 846-5100

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Tatarkhanova, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • San Carlos, CA
  • NPI 1043988231
  NPD (past)
• Richard Francis Burroughs, M.D.

  • Dermatology Physician
  • Washington, DC
  • NPI 1649250101
  NPD (past)
• Sarah Coates, MD

  • Dermatology Physician
  • Portland, OR
  • NPI 1114306115
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1902811037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-846-5100",
            "fax_number": "925-846-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-846-5100",
            "fax_number": "925-846-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE ALLERGY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "925-846-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL COWAN",
            "identifier": "G8589",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN LICENSE",
            "identifier": "G62900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETH COWAN LICENSE",
            "identifier": "A66278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruikang Liu, MD
• Samuel Kwong-Ming Liu, MD
• Steven Si Liu, MD
• Tingyi Liu
• Tracey Liu, MD
• Fernandina F Lo, MD
• Stephen Hsien-Chih Lo, MD
• Deborah V. Lobo, MD
• Nadia Ali Loewe, MFT
• Fred M Lombardo, LCSW

• All providers in Pleasanton, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.