GAYE DERUSSO P.A.
NPI 1184658783
Physician Assistant - Surgical in Berkeley, CA

Active since July 10, 2006
2999 REGENT ST, STE 225, BERKELEY, CA 94705(510) 704-7760(510) 704-7765 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaye Derusso P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAYE DERUSSO P.A. (NPI 1184658783) is an individual surgical provider in Berkeley, California, licensed in California (PA15294) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184658783
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameGAYE DERUSSOCredential: P.A.
Location Address2999 REGENT ST, STE 225Berkeley, CA 94705-2190
Mailing Address2999 Regent St, Ste 225Berkeley, CA 94705-2190 · (510) 704-7760 · Fax (510) 704-7765
Fax(510) 704-7765
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 26, 2013
NPI 1184658783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA15294
2999 REGENT ST, Berkeley, CA 94705

Other Identifiers 1

Medicare PINAT149ZCA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2999 REGENT ST, SUITE 714
BERKELEY, CA 94705
Neurological Surgery
2999 REGENT ST, SUITE 715
BERKELEY, CA 94705
Dermatology
2999 REGENT ST, SUITE 300
BERKELEY, CA 94705
Neurological Surgery
2999 REGENT ST, SUITE 715
BERKELEY, CA 94705
Orthopaedic Surgery
2999 REGENT ST, 225
BERKELEY, CA 94705
Psychiatry & Neurology (Psychiatry)
2999 REGENT ST, SUITE 512
BERKELEY, CA 94705
Preferred Provider Organization
2999 REGENT ST, SUITE 201
BERKELEY, CA 94705
Pediatrics
2999 REGENT ST, SUITE 524
BERKELEY, CA 94705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaye Derusso's NPI number?

The NPI number for Gaye Derusso is 1184658783. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Gaye Derusso located?

Gaye Derusso practices at 2999 Regent St Ste 225, Berkeley, CA 94705. The listed phone number is (510) 704-7760.

What is Gaye Derusso's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Gaye Derusso was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.