Search › California › 363A00000X
Casey Revenko, PHYSICIAN ASSISTANT
NPI 1790341618 · on the registry since 2019
Practice
- Address
- 350 30th St Ste 100
Oakland, CA 94609 - Phone
- (510) 204-1844
- Organisation at this address
- Randall Healthcare Inc
Sutter Community Health
Baychildren'S Physicians
Clark S Tsai, M.D., Inc.
Clark S. Tsai, M.D., Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 96
Additional practice sites
- 2999 Regent St Ste 225, Berkeley, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207XX0005X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California