ALLERGY ASSOCIATES MEDICAL GROUP INC (NPI# 1134333073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134333073 |
| Entity Type | Organization |
| Organization Name | ALLERGY ASSOCIATES MEDICAL GROUP INC |
| Practice Address |
6386 Alvarado Court Suite 210 San Diego CA 92120-4907 |
| Practice Telephone | 6192866687 |
| Practice Fax Number | 6192866695 |
| Mailing Telephone | 6192866687 |
| Mailing Fax Number | 6192866695 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-01-11 |
| Authorized Official Name | DR. BRUCE M PRENNER (PRESIDENT) |
| Authorized Official Telephone | 6192866687 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0062190 | 05 |
| Street Address |
6386 ALVARADO COURT SUITE 210 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447419502 | Patricia Mero Keefe | Allergy & Immunology | 6386 Alvarado Court, Suite 210, San Diego, CA 92120-4907 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1417363086 | Rhonda Emily Alkatib | Allergy & Immunology | 2655 Camino Del Rio N Ste 120, San Diego, CA 92108-1633 | 2014-07-03 |
| 1235424771 | Maria Luz Lara-marquez | Allergy & Immunology | 3675 Ruffin Rd Ste 120, San Diego, CA 92123-1870 | 2011-06-13 |
| 1346424462 | Gary Alan Cohen | Allergy & Immunology | 9833 Pacific Heights Blvd, Ste J, San Diego, CA 92121-4074 | 2007-12-26 |
| 1144373655 | Kusum Sharma | Allergy & Immunology | 10755 Scripps Poway Pkwy, Suite 455, San Diego, CA 92131-3924 | 2007-01-19 |
| 1831204494 | Gary A Cohen Md Inc | Allergy & Immunology | Ste J, 9833 Pacific Heights Blvd, San Diego, CA 92121-4707 | 2006-08-21 |
| 1285654889 | Marc Andrew Riedl | Allergy & Immunology | 8899 University Center Ln Ste 230, San Diego, CA 92122 | 2006-07-19 |
| 1013907286 | Brian Douglass Stone | Allergy & Immunology | 2655 Camino Del Rio N, #120, San Diego, CA 92108-1633 | 2005-10-27 |
| 1700336237 | Martin Lizerbram | Allergy & Immunology | 4005 Caminito Terviso, San Diego, CA 92122-1991 | 2016-10-07 |
| 1306252101 | Sun Mi Choi | Allergy & Immunology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2014-07-01 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.