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

Individual provider Physician Assistant · NPI 1780107169

Colin Glynn Cusick, PHYSICIANASSISTANT is a Physician Assistant in Antioch, California. Qualified in 2017, 9 years ago. Practices with Alameda Health System, a 601-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone: (925) 779-7200
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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 54485 (CA)

Record details

NPI number1780107169
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 18, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Alameda Health System — 601 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Antioch