MS. ALYS BRENNA DIMERCURIO
NPI 1215640255
Physician Assistant in Vallejo, CA

Active since January 05, 2023
1310 CLUB DR, VALLEJO, CA 94592(707) 638-5809 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Alys Brenna Dimercurio NPPES

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

MS. ALYS BRENNA DIMERCURIO (NPI 1215640255) is an individual physician assistant in Vallejo, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1215640255
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ALYS BRENNA DIMERCURIO
Location Address1310 CLUB DRVallejo, CA 94592-1187
Mailing Address1310 Club DrVallejo, CA 94592-1187 · (707) 638-5809
Sole ProprietorNo
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 4, 2023
NPI 1215640255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1310 CLUB DR, Vallejo, CA 94592

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.

Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592
Physician Assistant
1310 CLUB DR
VALLEJO, CA 94592

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 Alys Dimercurio's NPI number?

The NPI number for Alys Dimercurio is 1215640255. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Alys Dimercurio located?

Alys Dimercurio practices at 1310 Club Dr, Vallejo, CA 94592. The listed phone number is (707) 638-5809.

What is Alys Dimercurio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Alys Dimercurio was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.