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MR. MICHAEL TIMOTHY DEVEREUX PA-C
NPI 1225217979
Physician Assistant - Medical in Sunol, CA

Active since October 30, 2007
11925 MAIN ST, SUNOL, CA 94586(925) 862-2130 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Timothy Devereux Pa-c NPPES

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

MR. MICHAEL TIMOTHY DEVEREUX PA-C (NPI 1225217979) is an individual medical provider in Sunol, California, licensed in California (PA12220) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1225217979
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL TIMOTHY DEVEREUXCredential: PA-C
Location Address11925 MAIN STSunol, CA 94586-9490
Mailing AddressPo Box 379Sunol, CA 94586-0379
Phone(925) 862-2130
Sole ProprietorNo
Enumeration DateOctober 30, 2007
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1225217979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA12220
11925 MAIN ST, Sunol, CA 94586
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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 Michael Devereux's NPI number?

The NPI number for Michael Devereux is 1225217979. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is Michael Devereux located?

Michael Devereux practices at 11925 Main St, Sunol, CA 94586. The listed phone number is (925) 862-2130.

What is Michael Devereux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Devereux was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.