Individual provider Active NPI

Allyson Tracy Tevrizian, MD

  • Allergy & Immunology Physician
  • Walnut Creek, CA
National Provider Identifier
1902930753
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A064305 Issued in CA
Practice address
130 La Casa Via Ste 209 BLDG 2
Walnut Creek, CA 94598-3034
Phone
(925) 935-6252
Fax
(925) 935-7611
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 A064305 CA Primary

Addresses

Primary practice location

130 La Casa Via Ste 209 BLDG 2
Walnut Creek, CA 94598-3034

Mailing address

370 N Wiget LN
Ste 210
Walnut Creek, CA 94598-2452
Phone (925) 935-0856

Other identifiers 1

IdentifierTypeStateIssuer
A064305OtherCASTATE MEDICAL 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
I20110620000595 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9436337557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Duke University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

2305 Camino Ramon
Suite 225
San Ramon, CA 94583-1394
Phone (925) 327-1450

350 John Muir Pkwy
Suite 180
Brentwood, CA 94513-5185
Phone (925) 513-3140

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A064305CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Group of the Bay Area Inc Allergy & Immunology CurrentSince May 4, 2011 Accepting new patients
University of California San Francisco Allergy & Immunology Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

3010 Colby St
Ste 118
Berkeley, CA 94705
Phone (510) 486-0818

3010 Colby St
Ste 221
Berkeley, CA 94705
Phone (510) 644-2316

350 John Muir Pkwy
Ste 180
Brentwood, CA 94513
Phone (925) 513-3140

5860 Owens Dr
Ste 450
Pleasanton, CA 94588
Phone (925) 463-4900

2305 Camino Ramon
Ste 225
San Ramon, CA 94583
Phone (925) 327-1450

370 N Wiget Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-0856

130 La Casa Via
Ste 209
Walnut Creek, CA 94598
Phone (925) 935-6252

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: atevrizian29449@ehr.johnmuirhealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902930753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN",
            "address_2": "STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982452",
            "telephone_number": "925-935-0856",
            "fax_number": "925-935-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 209 BLDG 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983034",
            "telephone_number": "925-935-6252",
            "fax_number": "925-935-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVRIZIAN",
        "first_name": "ALLYSON",
        "middle_name": "TRACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A064305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A064305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.