Allergy Asthma Consultants of the Inland Empire Inc

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

2680574 Issued in CA

Legal business name

ALLERGY ASTHMA CONSULTANTS OF THE INLAND EMPIRE INC

Doing business as

Allergy Asthma Consultants of the Inland Empire

Practice address

375 Terracina Blvd
Redlands, CA 92373-3801

Phone

(909) 335-2600

Fax

(909) 881-0668

NPI assigned

Mar 27, 2007

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susheela Balasubramaniam, MDNPI 1780618314

Title

Owner

Phone

(909) 335-2600

Specialties & licenses 1

Addresses

Other names 1

• Allergy Asthma Consultants of the Inland Empire Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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, and the practitioner matching its NPPES authorized official.

• Susheela K Balasubramaniam, MD

  • Allergy & Immunology Physician
  • San Bernardino, CA
  • NPI 1780618314
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1972621860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-883-2292",
            "fax_number": "909-881-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-335-2600",
            "fax_number": "909-881-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASTHMA CONSULTANTS OF THE INLAND EMPIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "BALASUBRAMANIAM",
        "authorized_official_first_name": "SUSHEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-335-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "2680574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Asthma Consultants of the Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Liane Allen, OTR/L, MOT
• Jesse Allen, AMFT
• Jonathan Leslie Allen, M.D.
• Kellie A Allen, FNP
• Michael Patrick Allen, D.O.
• Keren Alleyne, P.T
• Allied Reference Laboratory
• Cleo Marie Allington, M.S. R.D.
• Allstar Medical Respite and Recuperative Care
• Lydia M Almodovar, RN

• Allergy Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.