Individual provider Active NPI

Nataliya M. Kushnir, M.D.

  • Allergy & Immunology Physician
  • Berkeley, CA
National Provider Identifier
1689875692
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A83416 Issued in CA
Practice address
2320 Woolsey St 314
Berkeley, CA 94705-1976
Phone
(925) 270-5119
Fax
(510) 666-0916
NPI assigned
May 29, 2007
Last updated
Jul 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A83416 CA Primary

Addresses

Primary practice location

2320 Woolsey St 314
Berkeley, CA 94705-1976

Mailing address

2320 Woolsey St 314
Berkeley, CA 94705-1976
Phone (925) 270-5119

Other identifiers 1

IdentifierTypeStateIssuer
A83416OtherCACA STATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000456 CA Practitioner - Allergy/Immunology 9638200199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6333 Telegraph Ave
Suite 201
Oakland, CA 94609-1359
Phone (510) 984-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83416CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Immunology Inc Allergy & Immunology CurrentSince Jun 29, 2025 Accepting new patients
Allergy & Immunology Clinic of East Bay Past Accepting new patients

Locations

2320 Woolsey St
Ste 314
Berkeley, CA 94705
Phone (925) 270-5119

6333 Telegraph Ave
Ste 201
Oakland, CA 94609
Phone (510) 984-6500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1689875692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST 314",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "925-270-5119",
            "fax_number": "510-666-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST 314",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051976",
            "telephone_number": "925-270-5119",
            "fax_number": "510-666-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNIR",
        "first_name": "NATALIYA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A83416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "A83416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.