San Tan Allergy and Asthma PC
NPI 1124240510 · Allergy & Immunology Physician · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124240510
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sam Shimamoto, Owner/Physician(480) 626-6600
- License
- 29558 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 4915 E Baseline Rd Ste 112Gilbert, AZ 85234-2966Phone: (480) 626-6600Fax: (480) 626-6604
- 708 S Coeur D Alene Ln Ste CPayson, AZ 85541-5662Phone: (480) 626-6600Fax: (480) 626-6604
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.