Casey S Revenko, PHYSICIANASSISTANT
Casey S Revenko, PHYSICIANASSISTANT is a Physician Assistant in Oakland, California. Qualified in 2019, 7 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
350 30th St Ste 100Oakland, CA 94609-3422
Phone: (510) 204-1844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2999 Regent St Ste 225, Berkeley, CA 94705-2117 — (510) 704-7760
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA56633 (CA) |
|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence PA56633 (CA) |
Record details
| NPI number | 1790341618 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | May 15, 2019 |
| Last updated in NPPES | December 31, 2024 |
| Certification date | December 31, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Sutter Bay Medical Foundation — 3762 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 7 on file with Medicare |
Other providers in Oakland
-
Dr. Basil Alwattar, MD
350 30th St Ste 320, Oakland, CA 94609-3425 · (510) 204-1844
-
Bay Area Sports Orthopaedics, Inc
3300 Webster St Ste 907, Oakland, CA 94609-3117 · (510) 834-2276
-
Andrew Golz, MD
275 W Macarthur Blvd, Oakland, CA 94611-5641 · (105) 752-1000