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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689333197

Clinten Paul Edmondson, PA is a Student in an Organized Health Care Education/Training Program in Oakland, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone: (800) 607-6377
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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 (CA)

Record details

NPI number1689333197
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 12, 2021
Last updated in NPPESDecember 12, 2021
Certification dateDecember 12, 2021

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