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)
San Tan Allergy and Asthma PC is a Allergy & Immunology Physician organization in Gilbert, AZ (NPI 1124240510).
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
Frequently asked questions
- What is San Tan Allergy and Asthma PC's NPI number?
- San Tan Allergy and Asthma PC's National Provider Identifier (NPI) is 1124240510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Tan Allergy and Asthma PC?
- San Tan Allergy and Asthma PC is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is San Tan Allergy and Asthma PC located?
- San Tan Allergy and Asthma PC's practice location on file with NPPES is 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234.
- What is San Tan Allergy and Asthma PC's phone number?
- The practice phone number listed in the NPPES registry for San Tan Allergy and Asthma PC is (480) 626-6600.
- Does San Tan Allergy and Asthma PC accept Medicare?
- San Tan Allergy and Asthma PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for San Tan Allergy and Asthma PC?
- The authorized official listed on San Tan Allergy and Asthma PC's NPPES record is Sam Shimamoto, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Tan Allergy and Asthma PC's NPI active?
- Yes — San Tan Allergy and Asthma PC's NPI (1124240510) is active in the NPPES registry as of the last update on 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.