Individual provider Active NPI

Alison Dion Perry, DO

  • Family Medicine Physician
  • Berkeley, CA
National Provider Identifier
1962866806
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20289 Issued in CA
Practice address
3075 Adeline St Ste 280
Berkeley, CA 94703-2580
Phone
(510) 981-4100
NPI assigned
Apr 6, 2016
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A20289 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3075 Adeline St Ste 280
Berkeley, CA 94703-2580

Mailing address

3075 Adeline St Ste 280
Berkeley, CA 94703-2580
Phone (510) 981-4100

Other practice location 1

2801 W Kinnickinnic River Pkwy
Suite 250
Milwaukee, WI 53215-3669
Phone (414) 649-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20289CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. Multi-Specialty CurrentSince Apr 17, 2023 Accepting new patients
Tiburcio Vasquez Health Center, Inc. Multi-Specialty CurrentSince Apr 17, 2023 Accepting new patients
Tiburcio Vasquez Health Center, Inc. Multi-Specialty Current Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

33255 9th St
Union City, CA 94587
Phone (510) 690-6052

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962866806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST STE 280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032580",
            "telephone_number": "510-981-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 ADELINE ST STE 280",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032580",
            "telephone_number": "510-981-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 W Kinnickinnic River Pkwy",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532153669",
            "country_code": "US",
            "telephone_number": "414-649-7909",
            "fax_number": "414-649-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ALISON",
        "middle_name": "DION",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20289",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.