MR. DARREN WILLIAM GUILLAUME (NPI# 1114088671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114088671 |
Entity Type | Individual |
Full Name | MR. DARREN WILLIAM GUILLAUME |
Credential | PA-C, CS |
Practice Address |
5700 Telegraph Ave Ste 100 Oakland CA 94609-1710 |
Mailing Address |
22558 Canyon Ridge Pl Castro Valley CA 94552-5414 |
Practice Telephone | 5105949411 |
Practice Fax Number | 5105942275 |
Mailing Telephone | 5104610756 |
Mailing Fax Number | 5107339464 |
Enumeration Date | 2006-12-12 |
Last Update Date | 2013-01-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
14010 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMS | 0PA140100 | 01 |
CMS | ZZZ04812Z | 01 |
Street Address |
5700 TELEGRAPH AVE STE 100 |
City | OAKLAND |
State | CA |
Zip Code | 94609-1710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205928645 | Bay Area Comprehensive Spine and Sports Medical Group Inc | Physical Medicine & Rehabilitation | 5700 Telegraph Ave Ste 100, Oakland, CA 94609-1710 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023596095 | Emily Eisenberg | Physician Assistant | 1411 E 31st St, Oakland, CA 94602-1092 | 2018-08-01 |
1467975953 | Katherine Burns | Physician Assistant | 365 Hawthorne Ave Ste 101, Oakland, CA 94609-3115 | 2017-07-17 |
1770014367 | Ambreen Zaman | Physician Assistant | 3315 Broadway, Street Level, Oakland, CA 94611-5717 | 2017-03-24 |
1902253974 | Gina Laura Robinson | Physician Assistant | 275 W Macarthur Blvd, Suite 17, Oakland, CA 94611-5641 | 2016-05-19 |
1447592266 | Kimberly Gail Ernest | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-03-19 |
1720366271 | Scott Andrew Tabish | Physician Assistant | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2011-08-02 |
1033414131 | Linda Irene Villarreal | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2011-01-20 |
1669702205 | Mary Kathryn Rankin | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2010-01-04 |
1578796439 | Shawn Charles Lies | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2009-08-26 |
1831368109 | Patrick J Wong | Physician Assistant | 744 52nd St, Suite 5203, Oakland, CA 94609 | 2008-02-21 |
Find all providers in OAKLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.