Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Squibb

Individual provider Physician Assistant · NPI 1033098355

Brandon Squibb is a Physician Assistant in Emeryville, California. Qualified in 2025, 1 year ago. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone: (510) 350-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7330 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7330 (CT)

Record details

NPI number1033098355
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address2100 Powell St Ste 400, Emeryville, CA 94608-1872

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Emeryville