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

Lillian Edith Beaumont Brennessel, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1376417170

Lillian Edith Beaumont Brennessel, PHYSICIANASSISTANT is a Physician Assistant in Vallejo, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 683-5809
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1376417170
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Other providers in Vallejo