Gaye Derusso is a Surgical in Berkeley, California. Gaye Derusso practices all healthcare services and medical treatments related to Surgical. The NPI Number for Gaye Derusso is 1184658783. The last update date is 2013-02-26.
Gaye Derusso's current location address is 2999 Regent St, Berkeley, California. You can contact this provider via phone number 5107047760 and fax number 5107047765. The mailing address for Gaye Derusso is 2999 Regent St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gaye Derusso |
|---|---|
| Address | 2999 Regent St, Berkeley, California |
| Phone Number | 5107047760 |
| Fax Number | 5107047765 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1184658783 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2013-02-26 |
Provider Mailing Address Detail
| Address | 2999 Regent St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947052190 |
| Phone Number | 5107047760 |
| Fax Number | 5107047765 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA15294 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gaye Derusso by the Centers for Medicare & Medicaid Services?
The Gaye Derusso has been assigned the NPI (National Provider Identifier) 1184658783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Gaye Derusso is located?
The Gaye Derusso is situated at the following address: 2999 Regent St, Berkeley, CA, 947052190.
What is Gaye Derusso's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gaye Derusso is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184658783 to Gaye Derusso?
The Gaye Derusso received its 1184658783 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date was the information pertaining to Gaye Derusso, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gaye Derusso, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-26.