MR. DARREN WILLIAM GUILLAUME PA-C CS NPI 1114088671

NPI Information

  • NPI: 1114088671
  • Provider Name: MR. DARREN WILLIAM GUILLAUME, PA-C, CS
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5700 TELEGRAPH AVE STE 100
    OAKLAND, CA
    ZIP 94609
  • Phone: (510) 594-9411

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NPI Details

MR. Darren William Guillaume, PA-C, CS is a surgical physician assistant in Oakland, CA. MR. Darren William Guillaume, PA-C, CS NPI is 1114088671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5700 TELEGRAPH AVE STE 100
OAKLAND, CA
ZIP 94609-710
Phone: (510) 594-9411
Fax: (510) 594-2275

The NPI 1114088671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 1/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical14010CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ04812ZOTHERCMS
20PA140100OTHERCALIFORNIACMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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