Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASEY S REVENKO, PHYSICIAN ASSISTANT
ActiveCASEY S REVENKO, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in OAKLAND, California. NPI 1790341618 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OAKLAND, CA
Registration Details
- NPI Number
- 1790341618
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2019 (7.2726764643612 yrs)
- Last Updated
- Dec 31, 2024
- Licenses
-
PA56633 (CA)PA56633 (CA)
Practice Information
- Address
-
350 30TH ST STE 100OAKLAND, CA, 946093422Browse CA providers · Browse ZIP 94609
- Phone
- 5102041844
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JANE LESLIE HYSEN | PA | 1538133731 |
| MS. BRITTA CHARLENE NELSON | PA | 1831167360 |
| MS. MIRANDA NABIL BASSILIOS | PA C | 1609831114 |
| MR. RONALD GREGORY GRANT | P.A. | 1740245190 |
| MICHAEL J DUFFY | PA | 1801839188 |
| AMANDA BLOOM | PA-C | 1417980681 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.