NPIMap

Organization Active NPI

Allergy & Asthma Center of SW Washington LLC

Doing business as Columbia Asthma and Allergy Clinic

  • Allergy & Immunology Physician
  • Vancouver, WA
National Provider Identifier
1912048745
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA CENTER OF SW WASHINGTON LLC
Doing business as
Columbia Asthma and Allergy Clinic
Practice address
1406 SE 164TH Ave Ste 250
Vancouver, WA 98683-9663
Phone
(360) 940-0810
Fax
(360) 567-1967
NPI assigned
Feb 12, 2007
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Rajeev Jain
Title
Coo
Phone
(408) 476-0624

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1406 SE 164TH Ave Ste 250
Vancouver, WA 98683-9663

Mailing address

43575 Mission Blvd # 716
Fremont, CA 94539-5831
Phone (360) 609-7077

Other names 1

  • Columbia Asthma and Allergy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1700 116th Ave NE
Fl 2
Bellevue, WA 98004
Phone (425) 209-0840

1700 116th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 209-0840

1750 112th Ave NE
Ste B220
Bellevue, WA 98004

1152 Douglas St
Longview, WA 98632
Phone (360) 423-1113

1406 SE 164th Ave
Ste 250
Vancouver, WA 98683
Phone (360) 940-0810

2121 NE 139th St
Ste 205
Vancouver, WA 98686
Phone (360) 487-4707

2501 NE 134th St
Vancouver, WA 98686
Phone (360) 754-3825

Practitioners & affiliated clinicians

Practitioners 9

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1912048745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43575 MISSION BLVD # 716",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395831",
            "telephone_number": "360-609-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 SE 164TH AVE STE 250",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839663",
            "telephone_number": "360-940-0810",
            "fax_number": "360-567-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CENTER OF SW WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "408-476-0624"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Asthma and Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.