Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Tan Allergy and Asthma PC

Organization Allergy & Immunology Physician · NPI 1124240510

San Tan Allergy and Asthma PC is an Allergy & Immunology Physician in Gilbert, Arizona. Works from 3 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4915 E Baseline Rd Ste 112
Gilbert, AZ 85234
Phone: (480) 626-6600
Fax: (480) 626-6604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4915 E Baseline Rd Ste 112, Gilbert, AZ 85234-2966 — (480) 626-6600
  • 708 S Coeur D Alene Ln Ste C, Payson, AZ 85541-5662 — (480) 626-6600

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 29558 (AZ)

Record details

NPI number1124240510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Shimamoto — Owner/Physician · (480) 626-6600
NPI enumeratedMay 3, 2007
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address4915 E Baseline Rd Ste 112, Gilbert, AZ 85234-2966

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