Dewayne Lee Cecil, AGACNP
Individual provider Active NPI Nurse Practitioner · Albany, CA
NPI 1366061285 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1366061285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95015622 (CA)
- Practice address
- 1080 Monroe Ave
Suite 120
Albany, CA 94706 - Phone
- (510) 439-9496
- NPI assigned
- Apr 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210715002028 | CA | Practitioner - Nurse Practitioner | 9234531062 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015622 | CA | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Medicine Associates Sleep Lab Inc. | Current |
Accepting new patients | |
| City & County of San Francisco | Acute Care | Current |
Accepting new patients |
| City & County of San Francisco | Current | Accepting new patients | |
| Pleasanton Emergency Medical Group | Current |
Accepting new patients | |
| Pulmonary Medicine Associates Medical Group, Inc | Current |
Accepting new patients | |
| Inpatient Specialists of California, PC | Current |
Accepting new patients | |
| City and County of San Francisco | Current |
Accepting new patients |
Locations
2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500
1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040
1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623
1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
Interoperability endpoints
- dcecil580715@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95015622 | CA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 95015622 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95015622 | CA | |
| Nurse Practitioner | 363L00000X | 95015622 | CA | Yes |
Addresses
Primary practice location
1080 Monroe Ave
Suite 120
Albany, CA 94706
Mailing address
1158 Francisco St
Berkeley, CA 94702-1333
Phone (901) 440-7713
Other providers in Albany, CA
- Amanda Beth Campbell
- Wil Cason
- Carla Cassler
- Keith Castaneto
- Chana Jessica Ceasar
- Cerrito Creek Family Medicine Inc
- Ashley Chan
- Elizabeth T. Chandler
- Christina Romay Chang
- Alan Shifman Charles
All providers in Albany, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.