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

Casey Allen Darmawan

Individual provider Physician Assistant · NPI 1992429476

Casey Allen Darmawan is a Physician Assistant in San Rafael, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

50 Acacia Ave
San Rafael, CA 94901-2230
Phone: (415) 457-4440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X · Licence PA68231 (CA)
Basic Emergency Medical Technician Taxonomy 146N00000X

Record details

NPI number1992429476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 28, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address22650 Alcalde Rd, Cupertino, CA 95014-3904

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