Active NPI
Dewayne Lee Cecil, AGACNP
- Nurse Practitioner
- Albany, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95015622
- Practice address
- 1080 Monroe Ave
Suite 120
Albany, CA 94706 - Phone
- (510) 439-9496
- NPI assigned
- Apr 10, 2020
- Last updated
- Feb 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| 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 | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | |
| Pleasanton Emergency Medical Group | Current | Accepting new patients | |
| Pulmonary Medicine Associates Medical Group, Inc | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| City & County of San Francisco | Acute Care | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| City & 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
1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018
1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500
350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
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
1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
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
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Francisco Public Health Laboratory
- Clinical Medical Laboratory
- San Francisco, CA
- NPI 1982737524
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1285625509
-
- Pulmonary Disease Physician
- Roseville, CA
- NPI 1407880719
-
dba CCSF DPH Multi - Practice Medical Group
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
Acute Care
-
dba DSAAM OTOP Methadone Maintenance
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Sleep Disorder Diagnostic Clinic/Center
- Sacramento, CA
- NPI 1255359378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1366061285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 FRANCISCO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021333",
"telephone_number": "901-440-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 MONROE AVE",
"address_2": "SUITE 120",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-439-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CECIL",
"first_name": "DEWAYNE",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "AGACNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95015622",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CA",
"license": "95015622",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015622",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95015622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.