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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | FEIN | 82-0877333 | 01 |
CA | FEIN | 33-0428376 | 01 |
CA | CALIFORNIA STATE LICENSE | G55911 | 01 |
Street Address |
720 N TUSTIN AVE STE 202 |
City | SANTA ANA |
State | CA |
Zip Code | 92705-3606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
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 |
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 |
Find all providers with the same taxonomy |
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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.