GARY A INCAUDO (NPI# 1194742106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742106 |
| Entity Type | Individual |
| Full Name | GARY A INCAUDO |
| Credential | MD |
| Practice Address |
145 Mission Ranch Blvd Suite 110 Chico CA 95926-2175 |
| Practice Telephone | 5308962200 |
| Practice Fax Number | 5308962209 |
| Mailing Telephone | 5308962200 |
| Mailing Fax Number | 5308962209 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | G27753 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
G27753 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G277530 | 05 |
| Street Address |
145 MISSION RANCH BLVD SUITE 110 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548558240 | Sarah Silvestri | Nurse Practitioner | 145 Mission Ranch Blvd, Suite 110, Chico, CA 95926-2296 | 2011-07-14 |
| 1235301805 | Anton Dotson Md Inc | Allergy & Immunology | 145 Mission Ranch Blvd, Suite 110, Chico, CA 95926-2175 | 2008-03-24 |
| 1407025653 | Whitney Dixon Md Inc | Specialist | 145 Mission Ranch Blvd, Suite 115, Chico, CA 95926-2296 | 2008-02-21 |
| 1124110218 | James Wade Walker | Physician Assistant | 145 Mission Ranch Blvd, Ste. 115, Chico, CA 95926-2175 | 2006-09-28 |
| 1477655447 | Whitney Deaun Dixon | Specialist | 145 Mission Ranch Blvd, Suite 115, Chico, CA 95926-2296 | 2006-09-01 |
| 1205849858 | Anton Robert Dotson | Allergy & Immunology | 145 Mission Ranch Blvd, Suite 110, Chico, CA 95926-2175 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1760694798 | Larry C Hsu, M.d. & L. Gretchen Wooding M.d., Inc | Allergy & Immunology | 254 Cohasset Rd Ste 10, Chico, CA 95926-2210 | 2007-05-03 |
| 1528065216 | Lenore Gretchen Wooding | Allergy & Immunology | 254 Cohasset Rd, Ste 10, Chico, CA 95926-2210 | 2005-07-07 |
| 1235301805 | Anton Dotson Md Inc | Allergy & Immunology | 145 Mission Ranch Blvd, Suite 110, Chico, CA 95926-2175 | 2008-03-24 |
| 1205849858 | Anton Robert Dotson | Allergy & Immunology | 145 Mission Ranch Blvd, Suite 110, Chico, CA 95926-2175 | 2006-08-14 |
| 1336158302 | Gary Incaudo M D Inc | Allergy & Immunology | Ste 110, 145 Mission Ranch Blvd, Chico, CA 95926-2175 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558341 | Los Angeles Food Allergy Institute, Inc. | Allergy & Immunology | 800 S Central Ave Ste 303, Glendale, CA 91204-4388 | 2020-04-29 |
| 1518587815 | Aire Medical of Glendale, Inc. | Allergy & Immunology | 1808 Verdugo Blvd Ste 116, Glendale, CA 91208-1455 | 2020-04-16 |
| 1598315467 | Dean T. Chiang, M.d. Inc | Allergy & Immunology | 3440 Lomita Blvd Ste 228, Torrance, CA 90505-4870 | 2019-09-12 |
| 1316416118 | Pediatric Specialty Partners Inc. | Allergy & Immunology | 8929 University Center Ln Ste 208, San Diego, CA 92122-1054 | 2018-11-21 |
| 1083133649 | Allergy Asthma Clinic Burlingame, Incorporated | Allergy & Immunology | 1828 El Camino Real Ste 703, Burlingame, CA 94010-3122 | 2017-09-14 |
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1992247134 | Macey Dennis | Allergy & Immunology | 549 Southgate Rd, Sacramento, CA 95815-3714 | 2016-11-04 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1730559600 | Benjamin Kramer | Allergy & Immunology | 750 Van Ness Ave, Ph1, San Francisco, CA 94102-6321 | 2015-10-04 |
| 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.