Active NPI
Allen David Bott, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Oakland, CA
National Provider Identifier
1770577652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- G27329
- Practice address
- 3120 Webster St
Oakland, CA 94609-3421 - Phone
- (510) 834-1813
- Fax
- (510) 834-9221
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | G27329 | CA | Primary |
Addresses
Primary practice location
3120 Webster St
Oakland, CA 94609-3421
Mailing address
3120 Webster St
Oakland, CA 94609-3421
Phone (510) 834-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G273290 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000069 | CA | Practitioner - Neurology | 8123169398 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Miami, LM Miller School of Medicine, 1973
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3120 Webster St
Oakland, CA 94609-3421
Phone (510) 834-1813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27329 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770577652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 WEBSTER ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093421",
"telephone_number": "510-834-1813",
"fax_number": "510-834-9221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 WEBSTER ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093421",
"telephone_number": "510-834-1813",
"fax_number": "510-834-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTT",
"first_name": "ALLEN",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "G27329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G273290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.