Columbia Asthma & Allergy Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00040042 Issued in WA

Legal business name

COLUMBIA ASTHMA & ALLERGY CLINIC

Practice address

3448 Mowry Ave
Fremont, CA 94538

Phone

(510) 373-3000

Fax

(510) 744-9959

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Kristina Fletcher

Title

Senior Credentialing Specialist

Phone

(360) 940-0860

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbia Asthma and Allergy Clinic Doing business as

Locations

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 1

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

• Michael Andre Lenoir, MD

  • Allergy Physician
  • Fremont, CA
  • NPI 1023065760
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1962687566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381422",
            "telephone_number": "510-373-3000",
            "fax_number": "510-744-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-373-3000",
            "fax_number": "510-744-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ASTHMA & ALLERGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "360-940-0860"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00040042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D1045257",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Asthma and Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaili Natane Collins
• Myles Collins
• Stephen Lyle Collins, D.C.
• Megan Collom
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• Community Counseling & Education Center
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• Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.