Active NPI
Nataliya M. Kushnir, M.D.
- Allergy & Immunology Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A83416
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A83416 | Other | CA | CA 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A83416 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Immunology Inc | Allergy & Immunology | Current | 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.
-
- Allergy & Immunology Physician
- Berkeley, CA
- NPI 1750117214
-
- Medical Specialty Clinic/Center
- Berkeley, CA
- NPI 1205159258
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.