Allergy and Rheumatology Medical Clinic., Inc

Key facts

NPI: 1922038256
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
License: A25563 (CA)
Legal business name: ALLERGY AND RHEUMATOLOGY MEDICAL CLINIC., INC
Practice address: 9850 Genesee Ave
Suite 420
La Jolla, CA 92037-1224
Phone: (858) 457-3270
Fax: (858) 457-5723
NPI assigned: Jul 3, 2006
Organization subpart: No

Authorized official

Name: Adrian M Jaffer, M.D
Title: Owner
Phone: (858) 457-3270

Practitioners 1

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

Janet M Kim, M.D Specialist · La Jolla, CA · NPI 1154355857

Medicare reassignment NPD CA · SPECIALIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050719001179	CA	Part B Supplier - Clinic/Group Practice	1153358346	Receives reassigned benefits from 1 practitioner Practice locations: La Jolla, CA

National Provider Directory

Locations

340 Fourth Ave
Ste 420
Chula Vista, CA 91910

Networks

BSC 65 PLUS INDIVIDUAL MAPD
Plans: 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)…

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193200000X MULTI-SPECIALTY GROUP	174400000X	A25563	CA	Yes

Addresses

Primary practice location

9850 Genesee Ave
Suite 420
La Jolla, CA 92037-1224

Mailing address

9850 Genesee Ave
Suite 420
La Jolla, CA 92037-1224
Phone (858) 457-3270

Other providers in La Jolla, CA

All providers in La Jolla, CA · Specialist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.