Provider Demographics
NPI:1417971524
Name:DELARAMA, FRANK (CNS)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:DELARAMA
Suffix:
Gender:M
Credentials:CNS
Other - Prefix:
Other - First Name:FRANCISCO
Other - Middle Name:
Other - Last Name:DELARAMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNS
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:650-853-6875
Mailing Address - Fax:
Practice Address - Street 1:795 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2302
Practice Address - Country:US
Practice Address - Phone:650-853-4816
Practice Address - Fax:650-853-6064
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA557403364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology