Allergy Immunology and Asthma Medical Group Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.

Practice address

4628 Georgetown PL
Stockton, CA 95207-6204

Phone

(209) 951-5353

Fax

(209) 951-5369

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Leo F Agbulos, LVN

Title

Manager

Phone

(209) 951-5353

Specialties & licenses 1

Addresses

Tax ID family

Allergy Immunology and Asthma Medical Group Inc2 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 Immunology and Asthma Medical Group Inc.

  • Specialist
  • Stockton, CA
  • NPI 1376554824
  NPD tax ID

Practitioners 1

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

• Gregory William Bensch, M.D.

  • Specialist
  • Stockton, CA
  • NPI 1710950589
  NPD

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1962369348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 GEORGETOWN PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076204",
            "telephone_number": "209-951-5353",
            "fax_number": "209-951-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 GEORGETOWN PL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076204",
            "telephone_number": "209-951-5353",
            "fax_number": "209-951-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "AGBULOS",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-951-5353",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlin Allen
• Matthew Allen
• Paris Allen
• Simone Allenbach
• Allergy Immunology and Asthma Medical Group Inc.
• Alisha Modupe Alli-Short
• Faith Allison, B.S.
• Stefani Allison, MS
• Tyacamellia Allred
• Melanie Maria Almada

• Non-Pharmacy Dispensing Site in Stockton, CA
• Providers in Stockton, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.