GAYE DERUSSO P.A.
NPI 1184658783
Physician Assistant - Surgical in Berkeley, CA
NPI Status: Active since July 10, 2006
Contact Information
2999 REGENT ST
STE 225
BERKELEY, CA
ZIP 94705
Phone: (510) 704-7760
Fax: (510) 704-7765
- Individual
- Female
- Physician Assistant
- Surgical
- PECOS Enrolled
About GAYE DERUSSO
This page provides the complete NPI Profile along with additional information for Gaye Derusso, a provider established in Berkeley, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1184658783 assigned on July 2006. The practitioner's primary taxonomy code is 363AS0400X with license number PA15294 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1184658783
- Provider Name
- GAYE DERUSSO P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2999 REGENT ST STE 225 BERKELEY, CA 94705
- Location Phone
- (510) 704-7760
- Location Fax
- (510) 704-7765
- Mailing Address
- 2999 REGENT ST STE 225 BERKELEY, CA 94705
- Mailing Phone
- (510) 704-7760
- Mailing Fax
- (510) 704-7765
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2006
- Last Update Date
- 02-26-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA15294
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AT149Z | MEDICARE PIN (08) | CA |
Medicare Participation & PECOS Enrollment Status
Gaye Derusso is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 8 | 4 | 6 | 5 | 8 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 16 | 4 | 12 | 5 | 16 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 6 + 4 + 1 + 2 + 5 + 1 + 6 + 7 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1184658783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124003173 | DR. JUDY SCHWARTZ MD Individual | Psychiatry & Neurology (Psychiatry) | 2999 REGENT ST SUITE 512 BERKELEY, CA 94705 (510) 644-0555 |
| 1104895846 | EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION Organization | Neurological Surgery | 2999 REGENT ST SUITE 715 BERKELEY, CA 94705 (510) 841-8700 |
| 1063481588 | DR. GORDON TANG M.D. Individual | Neurological Surgery | 2999 REGENT ST SUITE 715 BERKELEY, CA 94705 (510) 841-8700 |
| 1427004415 | DR. TAFT P BHUKET M.D. Individual | Internal Medicine (Gastroenterology) | 2999 REGENT ST SUITE 425 BERKELEY, CA 94705 (510) 548-6555 |
| 1073546479 | DR. WARREN I DOTZ M.D. Individual | Dermatology | 2999 REGENT ST SUITE 300 BERKELEY, CA 94705 (510) 540-5010 |
| 1962410423 | DR. JOHN RICHARD RECH D.D.S. Individual | Dentist (Periodontics) | 2999 REGENT ST SUITE 403 BERKELEY, CA 94705 (150) 084-3634 |
| 1326153594 | DR. WHITNEY ROBERT JOHNSON D.D.S. Individual | Dentist (General Practice) | 2999 REGENT ST SUITE 727 BERKELEY, CA 94705 (510) 845-3295 |
| 1508974056 | DR. JAIKRISHNA BALKISSOON MD Individual | Surgery (Surgical Oncology) | 2999 REGENT ST SUITE 300 BERKELEY, CA 94705 (510) 548-1717 |
| 1093823080 | DR. WILLIAM R GIANNI DDS Individual | Dentist | 2999 REGENT ST SUITE 714 BERKELEY, CA 94705 (510) 848-3143 |
| 1972614972 | RICHARD NEIL RUDD M.D. Individual | Obstetrics & Gynecology | 2999 REGENT ST SUITE 301 BERKELEY, CA 94705 (510) 204-8160 |
| 1609988864 | DR. RICHARD L OKEN M.D. Individual | Pediatrics | 2999 REGENT ST SUITE 325 BERKELEY, CA 94705 (925) 254-9203 |
| 1366553885 | DR. FARAZ BERJIS M.D. Individual | Specialist | 2999 REGENT ST SUITE 425 BERKELEY, CA 94705 (510) 548-6555 |
| 1801998364 | DR. CAROL DEBORAH GRIMM D.D.S. Individual | Dentist (Periodontics) | 2999 REGENT ST SUITE 403 BERKELEY, CA 94705 (510) 843-6341 |
| 1891870291 | DR. WILLIAM P TENNANT WILLIAM TENNANT Individual | Dentist (General Practice) | 2999 REGENT ST SUITE 714 BERKELEY, CA 94705 (510) 848-3143 |
| 1639258692 | DR. STEPHEN HART MD Individual | Family Medicine | 2999 REGENT ST SUITE # 622 BERKELEY, CA 94705 (510) 883-9700 |
| 1417027129 | DR. MEETA M DOSHI D.D.S. Individual | Dentist (General Practice) | 2999 REGENT ST SUITE 406 BERKELEY, CA 94705 (510) 843-9572 |
| 1992872410 | BERKELEY UROLOGICAL ASSOCIATES A MEDICAL GROUP INC. FKA LYON Organization | Urology (Pediatric Urology) | 2999 REGENT ST #612 BERKELEY, CA 94705 (510) 848-1733 |
| 1760559264 | JEFFREY ALAN WIEDER MD Individual | Urology (Pediatric Urology) | 2999 REGENT ST #612 BERKELEY, CA 94705 (510) 848-1727 |
| 1457428021 | JON W FLOYD MD Individual | Urology (Pediatric Urology) | 2999 REGENT ST #612 BERKELEY, CA 94705 (510) 848-1733 |
| 1801916689 | HELMUT RELINGER PHD Individual | Psychologist (Clinical) | 2999 REGENT ST SUITE 522 BERKELEY, CA 94705 (510) 649-3399 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184658783, enumerated in the NPI registry as an "individual" on July 10, 2006
The provider is located at 2999 Regent St Ste 225 Berkeley, Ca 94705 and the phone number is (510) 704-7760
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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