Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CASEY ALLEN DARMAWAN
NPI 1992429476
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since September 28, 2022
50 ACACIA AVE, SAN RAFAEL, CA 94901(415) 457-4440 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Sep 18, 2024, Sep 28, 2022 (3 updates tracked since 2022).

About Casey Allen Darmawan NPPES

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

CASEY ALLEN DARMAWAN (NPI 1992429476) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1992429476
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCASEY ALLEN DARMAWAN
Location Address50 ACACIA AVESan Rafael, CA 94901-2230
Mailing Address22650 Alcalde RdCupertino, CA 95014-3904
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1992429476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA68231 (CA)
50 ACACIA AVE, San Rafael, CA 94901

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
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Physician Assistant
50 ACACIA AVE, MEADOWLANDS 302
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901
Student in an Organized Health Care Education/Training Program
50 ACACIA AVE
SAN RAFAEL, CA 94901

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 Casey Darmawan's NPI number?

The NPI number for Casey Darmawan is 1992429476. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Casey Darmawan located?

Casey Darmawan practices at 50 Acacia Ave, San Rafael, CA 94901. The listed phone number is (415) 457-4440.

What is Casey Darmawan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Casey Darmawan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.