Individual provider Active NPI

Angelique Tremble, PA

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1952577033
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19116 Issued in CA
Practice address
396 Bellevue Ave
209
Oakland, CA 94610-3462
Phone
(510) 986-0715
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19116 CA
Physician Assistant 363A00000X 19116 CA Primary

Addresses

Primary practice location

396 Bellevue Ave
209
Oakland, CA 94610-3462

Mailing address

396 Bellevue Ave
209
Oakland, CA 94610-3462
Phone (510) 986-0715

Other practice location 1

3220 MacArthur Blvd
Oakland, CA 94602-3820
Phone (608) 769-6642

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001379 CA Practitioner - Physician Assistant 5991999682 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19116CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Jul 1, 2014 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Aug 22, 2010 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

Interoperability endpoints

  • Direct secure messaging: angelique.tremble.p32@direct.medcor.nextgenshare.com
  • Direct secure messaging: angelique.tremble.1@24990.direct.athenahealth.com
  • Direct secure messaging: angelique.tremble.p47@direct.medcor.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1952577033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BELLEVUE AVE",
            "address_2": "209",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103462",
            "telephone_number": "510-986-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 BELLEVUE AVE",
            "address_2": "209",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103462",
            "telephone_number": "510-986-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946023820",
            "country_code": "US",
            "telephone_number": "608-769-6642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREMBLE",
        "first_name": "ANGELIQUE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19116",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.