Active NPI
Allyson Tracy Tevrizian, MD
- Allergy & Immunology Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A064305
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A064305 | Other | CA | STATE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Duke University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A064305 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Medical Group of the Bay Area Inc | Allergy & Immunology | Current | 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
- 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.
-
dba Allergy & Asthma Medical Group of Diablo Valley Inc
- Allergy & Immunology Physician
- Walnut Creek, CA
- NPI 1871550590
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
dba UCSF Medical Center Adult Chronic Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Allergy & Immunology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.