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

Mr. Brian John Costello, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1396833257

Mr. Brian John Costello, PHYSICIANASSISTANT is a Physician Assistant in Walnut Creek, California. Qualified in 2000, 26 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

2405 Shadelands Dr Ste 300
Walnut Creek, CA 94598-5906
Phone: (925) 939-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Porter Dr, San Ramon, CA 94583-1587 — (925) 362-2166

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA15532 (CA)

Record details

NPI number1396833257
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walnut Creek