Beach Allergy & Asthma Specialty Group

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

BEACH ALLERGY & ASTHMA SPECIALTY GROUP

Practice address

3816 Woodruff Ave
Suite 209
Long Beach, CA 90808-2147

Phone

(562) 496-4749

Fax

(562) 429-3329

NPI assigned

Mar 7, 2006

Last updated

Jul 23, 2021By 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

Steven Mark Meltzer, M.D.NPI 1316915135

Title

Partner

Phone

(562) 496-4749

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allergy & Asthma Care Center of Southern California Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Allergy and Asthma Care Center of Southern California2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allergy and Asthma Care Center of Southern California

  • Medical Specialty Clinic/Center
  • Long Beach, CA
  • NPI 1962870576
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIAIAD

Practitioners 3

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.

• Steven M Meltzer, MD

  • Allergy & Immunology Physician
  • Long Beach, CA
  • NPI 1316915135
  Medicare reassignment NPD Authorized official
• Fonda Jiang

  • Allergy & Immunology Physician
  • Long Beach, CA
  • NPI 1043590649
  Medicare reassignment NPD
• Marc A Tamaroff, MD

  • Allergy & Immunology Physician
  • Long Beach, CA
  • NPI 1831167857
  Medicare reassignment NPD

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1902873060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-496-4749",
            "fax_number": "562-429-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-496-4749",
            "fax_number": "562-429-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH ALLERGY & ASTHMA SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "MELTZER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "562-496-4749",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ22603Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Care Center of Southern California",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eric Madlansacay Bayla, RPT
• Bonnie Bayya, FNP-BC
• Sharon Bazan, AS, RRT, RPFT.
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• Beach Medical Group Inc (Bech Medical Assoc. Inc)
• Beach Orthopedic and Neurosurgical Associates a Professional Corp

• Allergy & Immunology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.