Darren William Guillaume, PA-C, CS

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

14010 Issued in CA

Practice address

5700 Telegraph Ave Ste 100
Oakland, CA 94609-1710

Phone

(510) 594-9411

Fax

(510) 594-2275

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dguillaume168103@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1114088671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22558 CANYON RIDGE PL",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525414",
            "telephone_number": "510-461-0756",
            "fax_number": "510-733-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 TELEGRAPH AVE STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091710",
            "telephone_number": "510-594-9411",
            "fax_number": "510-594-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "DARREN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C, CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "14010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "0PA140100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "ZZZ04812Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Guh, MD
• Christine Larson Guidici, O.T.R.
• Vanessa Christine Guido, MS
• Benito Guijarro
• Allison Guilfoil
• Aixa Isabel Guillen Cuevas
• Eduardo Guillen, MD
• Sharon Guillen
• Cedric Gabriel Guillory
• Donna Louise Guillory, MFT

• Surgical Physician Assistant in Oakland, CA
• Providers in Oakland, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.