ALLERGY CONSULTANTS MEDICAL GROUP INC (NPI# 1255399473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255399473 |
| Entity Type | Organization |
| Organization Name | ALLERGY CONSULTANTS MEDICAL GROUP INC |
| Practice Address |
20055 Lake Chabot Rd Castro Valley CA 94546-5333 |
| Practice Telephone | 5105370700 |
| Practice Fax Number | 5105377795 |
| Mailing Telephone | 5105370700 |
| Mailing Fax Number | 5105377795 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | DR. DIONISIO A FERNANDES (PRESIDENT) |
| Authorized Official Telephone | 5105370700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A294160 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0066330 | 05 |
| Street Address |
20055 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572760 | Michael Edward Nickas | Urology | 20055 Lake Chabot Rd, #100, Castro Valley, CA 94546-5331 | 2005-10-21 |
| 1225571771 | University Healthcare Alliance | Internal Medicine | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2016-11-30 |
| 1346656832 | Connie Hwa Chen | Registered Nurse | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2014-07-07 |
| 1427481522 | Peter Adamczyk, Md, Inc. | Psychiatry & Neurology | 20055 Lake Chabot Rd, Suite 300, Castro Valley, CA 94546-5331 | 2013-08-13 |
| 1366795395 | Tara Marie Jordan | Physician Assistant | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2012-10-15 |
| 1376802579 | Thomas R Powers Md. Inc | Psychiatric Hospital | 20055 Lake Chabot Rd, Suite 350, Castro Valley, CA 94546-5331 | 2012-05-08 |
| 1467731828 | Gene-yuan Chang | Internal Medicine | 20055 Lake Chabot Rd, 230, Castro Valley, CA 94546-5331 | 2011-08-16 |
| 1750681714 | Joanna Randolph | Nurse Practitioner | 20055 Lake Chabot Rd, Suite 230, Castro Valley, CA 94546-5331 | 2010-10-25 |
| 1568696987 | Doctors Medical Surgical Associates | Specialist | 20055 Lake Chabot Rd, Suite 200, Castro Valley, CA 94546-5331 | 2009-05-13 |
| 1407051584 | Daniel B. Allen, M.d., Inc. | Specialist | 20055 Lake Chabot Rd, Suite 240, Castro Valley, CA 94546-5331 | 2007-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396823092 | Kenneth W. Lien | Allergy & Immunology | 20400 Lake Chabot Rd, Ste. 304, Castro Valley, CA 94546-5316 | 2006-11-01 |
| 1568842417 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 20100 Lake Chabot Rd, Ste. 2, Castro Valley, CA 94546-5306 | 2015-06-05 |
| 1609210590 | Allergy, Asthma & Sinus Centers of Silicon Valley, Inc. | Allergy & Immunology | 20400 Lake Chabot Rd Ste 304, Castro Valley, CA 94546-5316 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
| 1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
| 1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
| 1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
| 1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
| 1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
| 1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
| 1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
| 1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
| 1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
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| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on ALLERGY CONSULTANTS MEDICAL GROUP INC.
| 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.