ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.
NPI 1376554824
Specialist in Stockton, CA

Active since August 10, 2006
4628 GEORGETOWN PL, STOCKTON, CA 95207(209) 478-6177(209) 478-6219 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Allergy Immunology And Asthma Medical Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC. (NPI 1376554824) is a healthcare organization registered as a specialist in Stockton, California and active in the NPI registry since August 2006. The organization lists Leo F Agbulos, Manager, as its authorized official.

NPPES Registry Identity

NPI1376554824
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC.
Location Address4628 GEORGETOWN PLStockton, CA 95207-6204
Mailing Address4628 Georgetown PlStockton, CA 95207-6204 · (209) 478-6177 · Fax (209) 478-6219
Fax(209) 478-6219
Organization SubpartNo
Authorized OfficialLeo F AgbulosManager · (209) 951-5353
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1376554824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
4628 GEORGETOWN PL, Stockton, CA 95207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allergy Immunology And Asthma Medical Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Allergy Immunology And Asthma Medical Group Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Allergy/Immunology
NPI 1235405952
4628 GEORGETOWN PL
Stockton, CA 95207
(209) 951-5353
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1346565934
4628 GEORGETOWN PL
Stockton, CA 95207
(209) 951-5353
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1508839457
4628 GEORGETOWN PL
Stockton, CA 95207
(209) 478-6177
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1710950589
4628 GEORGETOWN PL
Stockton, CA 95207
(209) 478-6177
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allergy Immunology And Asthma Medical Group Inc.'s NPI number?

The NPI number for Allergy Immunology And Asthma Medical Group Inc. is 1376554824. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Allergy Immunology And Asthma Medical Group Inc. located?

Allergy Immunology And Asthma Medical Group Inc. is located at 4628 Georgetown Pl, Stockton, CA 95207. The listed phone number is (209) 478-6177.

What is Allergy Immunology And Asthma Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Allergy Immunology And Asthma Medical Group Inc. enrolled in Medicare?

Yes. Allergy Immunology And Asthma Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Allergy Immunology And Asthma Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Allergy/Immunology, reassign their Medicare billing to Allergy Immunology And Asthma Medical Group Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Allergy Immunology And Asthma Medical Group Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 26 other insurers list Allergy Immunology And Asthma Medical Group Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allergy Immunology And Asthma Medical Group Inc. was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.