Organization Active NPI

Allergy & Asthma Associates of Santa Clara Valley a Medical Corp

Doing business as Allergy and Asthma Associates of Northern California A Medical Corp

  • Allergy & Immunology Physician
  • San Jose, CA
National Provider Identifier
1962531590
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ASTHMA ASSOCIATES OF SANTA CLARA VALLEY A MEDICAL CORP
Doing business as
Allergy and Asthma Associates of Northern California A Medical Corp
Practice address
4050 Moorpark Ave
San Jose, CA 95117
Phone
(408) 243-2700
Fax
(408) 553-0750
NPI assigned
Mar 2, 2007
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Dr. James D Wolfe, MDNPI 1194733428
Title
President
Phone
(408) 243-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X CA Primary

Addresses

Primary practice location

4050 Moorpark Ave
San Jose, CA 95117

Mailing address

4050 Moorpark Ave
San Jose, CA 95117-1840
Phone (408) 243-2700

Other names 1

  • Allergy and Asthma Associates of Northern California A Medical Corp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524001435 CA Part B Supplier - Clinic/Group Practice 9638111297 Receives reassigned benefits from 7 practitioners
Practice locations: Monterey, CA; San Jose, CA; Santa Cruz, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1013793Allergy & Asthma Associates of Santa4050 Moorpark Ave Suite 6, San Jose, CA 95117Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

2557 Mowry Ave
Ste 23
Fremont, CA 94538
Phone (510) 797-5555

9360 No Name Uno
Ste 140
Gilroy, CA 95020
Phone (408) 848-1800

9360 No Name Uno
Ste 250
Gilroy, CA 95020
Phone (408) 842-6500

337 El Dorado St
Monterey, CA 93940

285 South Dr
Ste 1
Mountain View, CA 94040
Phone (650) 210-9292

200 Jose Figueres Ave
Ste 240
San Jose, CA 95116
Phone (408) 937-0928

200 Jose Figueres Ave
Ste 470
San Jose, CA 95116
Phone (408) 254-0300

5615 Chesbro Ave
Ste 290
San Jose, CA 95123
Phone (408) 281-7400

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)…

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1962531590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171840",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95117",
            "telephone_number": "408-243-2700",
            "fax_number": "408-553-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA ASSOCIATES OF SANTA CLARA VALLEY A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-243-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Associates of Northern California A Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.