Individual provider Active NPI

Allison Dong

  • Family Nurse Practitioner
  • Alameda, CA
National Provider Identifier
1609565894
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024996 Issued in CA
Practice address
2690 5TH St Ste B
Alameda, CA 94501-6584
Phone
(510) 439-9447
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024996 CA Primary

Addresses

Primary practice location

2690 5TH St Ste B
Alameda, CA 94501-6584

Mailing address

2690 5TH St Ste B
Alameda, CA 94501-6584
Phone (510) 439-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712000212 CA Practitioner - Nurse Practitioner 3971963760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

1390 Market St
Suite 109
San Francisco, CA 94102-5403
Phone (415) 918-5766

1998 Market St
San Francisco, CA 94102-6228
Phone (415) 792-6040

2131 Irving St
San Francisco, CA 94122-1609
Phone (415) 231-2546

2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447

3251 20TH Ave
Suite 320
San Francisco, CA 94132-1915
Phone (415) 480-1160

4156 Manzanita Ave
Suite 100
Carmichael, CA 95608-1496
Phone (916) 488-6337

46 Hillsdale Mall
San Mateo, CA 94403-3407
Phone (650) 769-5612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1609565894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 5TH ST STE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016584",
            "telephone_number": "510-439-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 5TH ST STE B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016584",
            "telephone_number": "510-439-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.