Allergy Partners of California, Inc.
Organization Active NPI Allergy & Immunology Physician · San Luis Obispo, CA
NPI 1992002182 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1992002182
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALLERGY PARTNERS OF CALIFORNIA, INC.
- Practice address
- 1551 Bishop St Ste 220
San Luis Obispo, CA 93401-4661 - Phone
- (805) 543-2744
- Fax
- (805) 543-0539
- NPI assigned
- Feb 24, 2011
- Organization subpart
- No
Authorized official
- Name
- David Allen Brown
- Title
- Owner
- Phone
- (828) 277-1300
Other NPIs on the same Medicare enrollment 2
Practitioners 12
-
Rhonda Emily Alkatib, M.D.
-
William G Harris, MD
-
Yela Jung, MD
-
Chao-I Lin, MD
-
Daniel Robert More, M.D.
-
Jennifer Owen, ATC, PA-C
-
Courtney Ramos, D.O.
-
Jeremy Rinaldi, PA-C
-
Kelli Marie Rose, M.D.
-
Spencer Wade Townsend, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110719000704 | CA | Part B Supplier - Clinic/Group Practice | 0143498097 |
Receives reassigned benefits from 12 practitioners 2 other NPIs on this enrollment Practice locations: La Mirada, CA; Santa Maria, CA; San Luis Obispo, CA; San Diego, CA; Pismo Beach, CA; Orange, CA; Irvine, CA; Fullerton, CA |
National Provider Directory
Locations
1440 N Harbor Blvd
Ste 708
Fullerton, CA 92835
Phone (714) 451-0801
2655 Camino del Rio N
Ste 425
San Diego, CA 92108
Phone (619) 286-6687
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | C36751 | CA | |
| Allergy & Immunology Physician |
207K00000X | Yes |
Addresses
Primary practice location
1551 Bishop St Ste 220
San Luis Obispo, CA 93401-4661
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FD321A | Other | CA | MEDICARE PTAN |
Other providers in San Luis Obispo, CA
- Karen Denise Allen
- Kimberly Kay Allen
- Jennifer Allenbarker
- Regan Allendorf
- Jazzlynne Allensworth
- Sara Jayne Alley
- Tyson Allies
- Alyson Brooke Allison
- Ashley Allison
- Eric M. Alltucker
All providers in San Luis Obispo, CA · Allergy & Immunology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.