MR. BRIAN JOHN COSTELLO


Address: 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587
Phone: 9253622166

MR. BRIAN JOHN COSTELLO (NPI# 1396833257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396833257
Entity Type Individual
Full Name MR. BRIAN JOHN COSTELLO
Credential PHYSICIAN ASSISTANT
Practice Address 200 Porter Dr
Suite 215
San Ramon
CA 94583-1587
Mailing Address 200 Porter Dr
Ste 215
San Ramon
CA 94583-1524
Practice Telephone 9253622166
Practice Fax Number 8555743055
Mailing Telephone 9253622166
Enumeration Date 2006-10-10
Last Update Date 2017-05-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA15532 CA Physician Assistants & Advanced Practice Nursing Providers

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1437352911 Brian Joseph Costello Internal Medicine 3080 Hamilton Blvd, Suite 350, Allentown, PA 18103-3694 2007-06-11
1821144163 Brian Eoin Costello Pediatrics 1645 Tullie Cir Ne, Division of Pediatric Emergency Medicine, Atlanta, GA 30329-2304 2007-01-27
1932179181 Brian A Costello Internal Medicine 200 1st St Sw, Rochester, MN 55905-0001 2006-01-23
1154306454 Brian L. Costello Physician Assistant 5310 Homestead Rd Ne, Suite 301, Albuquerque, NM 87110-1437 2005-12-08

Office Location

Street Address 200 PORTER DR
SUITE 215
City SAN RAMON
State CA
Zip Code 94583-1587

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649265349 Robin Marcellus Dennings Anesthesiology 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 2005-09-19
1285005074 Claudine Cho Nurse Practitioner 200 Porter Dr, Suite 300, San Ramon, CA 94583 2015-10-19
1831596584 Kerri Lewis Physical Therapist 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 2014-11-24
1518371574 Brianne M Spencer Physical Therapist 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 2014-06-18
1134547599 Kyle Henderson Physician Assistant 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 2014-04-02
1346592227 Robin F Mercer Physician Assistant 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 2012-10-03
1477812998 Arthur Hung-chun Chu Physical Therapist 200 Porter Dr, #101, San Ramon, CA 94583-1587 2012-05-04
1588999734 Clair Steven Weenig Anesthesiology 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 2009-10-06
1316117682 Laura Heather Anaya Physician Assistant 200 Porter Dr, Suite 200, San Ramon, CA 94583-1587 2008-03-03
1174792261 Empire Anesthesia Inc Pain Medicine 200 Porter Dr, Suite 100, San Ramon, CA 94583-1587 2008-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295375475 Angel Beatrice Mckneely Behavior Technician 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 2020-01-15
1205302247 Asma Parisa Rezaye Behavior Technician 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 2018-10-17
1679055461 Mary Martineau Speech-Language Pathologist 210 Porter Dr Ste 120, San Ramon, CA 94583 2018-08-29
1336631332 Alison Jean Barnes Behavior Technician Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 2018-06-05
1730671975 Michael Federico Pharmacist 2735 Ascot Drive, San Ramon, CA 94583 2018-06-04
1508384843 Donor Network West Organ Procurement Organization 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 2017-09-07
1265950141 Danielle Lustig Fitch Marriage & Family Therapist 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 2017-08-31
1386166205 Park Place Ambulatory Surgery Center Orthopaedic Surgery 100 Park Place, Suite 100, San Ramon, CA 94583 2017-07-12
1952822991 Virginia Rutledge Mosby Marriage & Family Therapist 3180 Crow Canyon Place #140, San Ramon, CA 94583 2017-06-29
1437684784 Nakhla Dental Group Dentist Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 2017-04-25
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194885467 Christopher Shean Wilkins Physician Assistant 103 Greenwich Ct, San Ramon, CA 94582-2800 2006-12-09
1346592227 Robin F Mercer Physician Assistant 200 Porter Dr, Suite 215, San Ramon, CA 94583-1587 2012-10-03
1619104601 Gerardine Salindong Cruz Physician Assistant 6001 Norris Canyon Rd, San Ramon, CA 94583-5400 2009-06-17
1811051840 Josef Owen Maier Physician Assistant 5801 Norris Canyon Rd Ste 210, San Ramon, CA 94583-5440 2006-12-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894403 Kathlyn Larco Physician Assistant 1233 W Randall Way, West Covina, CA 91790-4747 2020-06-07
1487126421 Eliza Hughes Physician Assistant 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 2018-12-31
1508333873 Andrew Cantos Malit Physician Assistant 409 Bristol Way, Corona, CA 92879-6156 2018-10-25
1578049458 Ida Jelveh Physician Assistant 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 2018-07-13
1356833578 Michael James Gonzalez Physician Assistant 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 2018-06-04
1023500592 Pamela Lambert Pa-c, Inc. Physician Assistant 16105 Mariposa Ave, Riverside, CA 92504-8730 2018-05-31
1225532385 Folsom Physicain Assistant First Assist, Inc Physician Assistant Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 2018-03-22
1275040008 Gm Surgical Assistant Inc Physician Assistant 15615 Turnberry St, Moreno Valley, CA 92555-4901 2018-01-02
1902311186 Or Solutions Inc Physician Assistant 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 2017-12-09
1184143828 Alaa Abdalla Daghlas Physician Assistant 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 2017-09-13
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Competitor

Search similar providers

City SAN RAMON
Zip Code 94583

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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