Provider Demographics
NPI:1639365497
Name:JAMES, DENNIS ALAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:ALAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S PICO AVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-6247
Mailing Address - Country:US
Mailing Address - Phone:562-492-2821
Mailing Address - Fax:
Practice Address - Street 1:384 EMBARCADERO W
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3735
Practice Address - Country:US
Practice Address - Phone:510-465-9565
Practice Address - Fax:510-465-3840
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA12380363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical