Allergy and Immunology Clinic of East Bay Inc
NPI 1477879609 · Allergy & Immunology Physician · Berkeley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Allergy and Immunology Clinic of East Bay Inc is a Allergy & Immunology Physician organization in Berkeley, CA (NPI 1477879609).
Provider details
- NPI number
- 1477879609
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dmitriy Sukhov, Business Manager(925) 270-5119
- License
- A83416 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-04-13
- Last updated
- 2010-06-23
Frequently asked questions
- What is Allergy and Immunology Clinic of East Bay Inc's NPI number?
- Allergy and Immunology Clinic of East Bay Inc's National Provider Identifier (NPI) is 1477879609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Allergy and Immunology Clinic of East Bay Inc?
- Allergy and Immunology Clinic of East Bay Inc is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Allergy and Immunology Clinic of East Bay Inc located?
- Allergy and Immunology Clinic of East Bay Inc's practice location on file with NPPES is 2320 Woolsey St, Berkeley, CA 94705-1973.
- What is Allergy and Immunology Clinic of East Bay Inc's phone number?
- The practice phone number listed in the NPPES registry for Allergy and Immunology Clinic of East Bay Inc is (925) 270-5119.
- Does Allergy and Immunology Clinic of East Bay Inc accept Medicare?
- Allergy and Immunology Clinic of East Bay Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Allergy and Immunology Clinic of East Bay Inc?
- The authorized official listed on Allergy and Immunology Clinic of East Bay Inc's NPPES record is Dmitriy Sukhov, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Allergy and Immunology Clinic of East Bay Inc's NPI active?
- Yes — Allergy and Immunology Clinic of East Bay Inc's NPI (1477879609) is active in the NPPES registry as of the last update on 2010-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.