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

Jamon Larry, PA-C

Individual provider Physician Assistant · NPI 1093087306

Jamon Larry, PA-C is a Physician Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3600 Broadway
Oakland, CA 94611-5730
Phone: (510) 752-1155
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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 56576 (CA)

Record details

NPI number1093087306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2012
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address7677 Oakport St Fl 12, Oakland, CA 94621-1929

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