Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Casey S Revenko, PHYSICIAN ASSISTANT
Physician Assistant in Oakland, CA · enumerated 2019.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790341618
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Registry record
Entity type Individual (Type 1)
Name Casey S Revenko
Credential PHYSICIAN ASSISTANT
Sex Female
Practice address 350 30th St Ste 100, Oakland, CA, 94609
Phone (510) 204-1844
Enumeration date May 15, 2019
Last updated in NPPES Dec 31, 2024
Taxonomy & licenses
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License PA56633 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA56633 (CA) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Casey Revenko?
The National Provider Identifier (NPI) for Casey Revenko is 1790341618, a Type 1 (individual) record in the CMS NPPES registry.
Where does Casey Revenko practice?
The practice location on file with NPPES is in Oakland, CA. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Laura Wedderburn Internal Medicine Physician · Oakland, CA NPI 1912981788 William De Wolf Internal Medicine Physician · Oakland, CA NPI 1538274055 Jaclyn Chen Urology Physician · Oakland, CA NPI 1942520630 Jonathan Lee Internal Medicine Physician · Oakland, CA NPI 1306135124 Suresh Nayar Orthopaedic Hand Surgery Physician · Oakland, CA NPI 1760805055 Andrew Tam Urology Physician · Oakland, CA NPI 1063943439 Pratik Patel Family Medicine Physician · Oakland, CA NPI 1922502335 Brooke Elconin Orthopaedic Surgery Physician · Oakland, CA NPI 1730987637
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-31.