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

Gaye Derusso, PA

Individual provider Surgical Physician Assistant · NPI 1184658783

Gaye Derusso, PA is a Surgical Physician Assistant in Berkeley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2999 Regent St Ste 225
Berkeley, CA 94705-2190
Phone: (510) 704-7760
Fax: (510) 704-7765
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA15294 (CA)

Record details

NPI number1184658783
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESFebruary 26, 2013

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