DR. JEREMY ELLIOTT KASLOW


Address: 720 N Tustin Ave Ste 202, Santa Ana, CA 92705-3606
Phone: 7145651032

DR. JEREMY ELLIOTT KASLOW (NPI# 1144305574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144305574
Entity Type Individual
Full Name DR. JEREMY ELLIOTT KASLOW
Credential M.D.
Practice Address 720 N Tustin Ave Ste 202
Santa Ana
CA 92705-3606
Practice Telephone 7145651032
Practice Fax Number 7145651035
Mailing Telephone 7145651032
Mailing Fax Number 7145651035
Enumeration Date 2006-10-25
Last Update Date 2019-08-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207KI0005X Allergy & Immunology
Specialization: Clinical & Laboratory Immunology
G55911 CA Allopathic & Osteopathic Physicians
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
G55911 CA Allopathic & Osteopathic Physicians
N 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
G55911 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA FEIN 82-0877333 01
CA FEIN 33-0428376 01
CA CALIFORNIA STATE LICENSE G55911 01

Office Location

Street Address 720 N TUSTIN AVE STE 202
City SANTA ANA
State CA
Zip Code 92705-3606

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NPI Name Taxonomy Address Enumeration
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1588214688 Cindy Mejia Behavior Technician 505 N. Tustin Ave., #152, Santa Ana, CA 92705 2019-09-19
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1962056820 Melinda Acosta Black Social Worker 1526 Brookhollow Drive, Santa Ana, CA 92705 2019-07-30
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1952884736 Javier Perales Social Worker 1652 Windsor Ln, Santa Ana, CA 92705 2018-09-08
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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205309341 Kianoush Shakib Md Inc Internal Medicine 11661 San Vicente Blvd Ste 101, Los Angeles, CA 90049-5150 2019-01-10
1629510235 Lawrence Awai Internal Medicine 4776 Stetson Rd, Clovis, CA 93619-9555 2016-11-14
1619363314 Aminaa Siddiqi Internal Medicine 2440 W Covell Blvd Ste 104, Davis, CA 95616-5671 2015-04-09
1881082683 Ricardo Antonio Tan Md Inc. Internal Medicine 5219 Cedros Ave, Sherman Oaks, CA 91411-4016 2014-12-31
1811315781 Trisha Sharma Internal Medicine 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 2014-03-28
1609202274 George Richard Barr Internal Medicine 225 Crossroads Blvd # 381, Carmel, CA 93923-8674 2013-09-16
1184069692 Tyler Basen Internal Medicine 26691 Plaza Ste 170, Mission Viejo, CA 92691-6396 2013-05-10
1528403797 Warner C. Greene Internal Medicine 1650 Owens St, San Francisco, CA 94158-2261 2013-05-01
1407153000 Howard Eric Strom Internal Medicine 3411 La Falda Pl, Los Angeles, CA 90068-1509 2011-02-16
1598893794 Rakesh Jindal M.d. Inc Internal Medicine 462 W Putnam Ave, Porterville, CA 93257-3321 2007-03-01
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Competitor

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City SANTA ANA
Zip Code 92705

Improve Information

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Dataset Information

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.

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