NPI
Michael Timothy Devereux
NPI 1225217979
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2007-10-30
- Last updated
- 2014-01-24
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Specialties
Licenses
- License CA
- PA12220
Location
- Practice location
- 11925 Main St
- City
- Sunol CA
- Postal code
- 94586-9490
- Phone
- (925) 862-2130
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Sunol, CA. 10 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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