Allergy and Asthma Consultants

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

G579120 Issued in CA

Legal business name

ALLERGY AND ASTHMA CONSULTANTS

Practice address

369 Main St Ste 200
Redwood City, CA 94063-1759

Phone

(650) 216-6111

Fax

(650) 216-9725

NPI assigned

Aug 6, 2012

Last updated

Aug 6, 2012By 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

Mrs. McKenzie Wilborn

Title

Medical Billing Manager

Phone

(714) 751-8864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1982951208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MAIN ST STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631759",
            "telephone_number": "650-216-6111",
            "fax_number": "650-216-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MAIN ST STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631759",
            "telephone_number": "650-216-6111",
            "fax_number": "650-216-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "WILBORN",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "714-751-8864",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G579120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.