Allison Marie Aiken, M.D.
Individual provider Active NPI Family Medicine Physician · Berkeley, CA
NPI 1376736397 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1376736397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C136557 (CA)
- Practice address
- 2222 Bancroft Way
Berkeley, CA 94720-1814 - Phone
- (510) 642-6621
- Fax
- (510) 642-1801
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230608001874 | CA | Order and Referring Only - Family Practice |
0840375606 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C136557 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Services, Inc. | Past | Accepting new patients | |
| Emmaus Community Healthcare, PLLC | Past | Accepting new patients | |
| Primary Care Health Services, Inc. | Past | Accepting new patients | |
| Jacob Moussai MD Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C136557 | CA | Yes |
Addresses
Primary practice location
2222 Bancroft Way
Berkeley, CA 94720-1814
Mailing address
2222 Bancroft Way
Berkeley, CA 94720-4301
Phone (510) 642-6621
Other providers in Berkeley, CA
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- Min Sik Ahn
- Arzou D Ahsan
- Keri Reyne Aiani
- Rachelle Aiello
- Aila Health, Inc
- Aimc Berkeley
- Aimee Lynn Schimizzi, M.D., Inc
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- Nkiru E Ajaelo
All providers in Berkeley, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.