Active NPI
Angelique Tremble, PA
- Physician Assistant
- Oakland, CA
National Provider Identifier
1952577033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19116 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| San Joaquin County Behavioral Health Services | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | 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
- angelique.tremble.p32@direct.medcor.nextgenshare.com
- angelique.tremble.1@24990.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Tracy, CA
- NPI 1952392375
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Orthopaedic Surgery Physician
- Hayward, CA
- NPI 1063635423
-
- Emergency Medicine Physician
- French Camp, CA
- NPI 1467863290
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tracy, CA
- NPI 1306051370
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.