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

MS. Alys Brenna Dimercurio

Individual provider Physician Assistant · NPI 1215640255

MS. Alys Brenna Dimercurio is a Physician Assistant in Vallejo, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1310 Club Dr
Vallejo, CA 94592-1187
Phone: (707) 638-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215640255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 5, 2023
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 4, 2023
Mailing address1310 Club Dr, Vallejo, CA 94592-1187

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