DR. ZACHARY JAMES GUSTIN (NPI# 1134779820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134779820 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY JAMES GUSTIN |
| Credential | DPM |
| Practice Address |
11201 Benton St Loma Linda CA 92357-1000 |
| Mailing Address |
25590 Prospect Ave Apt 40h Loma Linda CA 92354-3154 |
| Practice Telephone | 6268983459 |
| Mailing Telephone | 6268983459 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | EL6885 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700053337 | Zachary Tomulty Gustin | Physical Medicine & Rehabilitation | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2008-05-13 |
| Street Address |
11201 BENTON ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92357-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290558 | Russell Evan Hoxie Jr. | Internal Medicine | 11201 Benton St, Loma Linda, CA 92357-1000 | 2005-07-22 |
| 1104435643 | Megan Satre | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-30 |
| 1972111862 | Aileen Nati Ludesirishoti | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-07-17 |
| 1649894551 | Bryan Lamont Brewer | Social Worker | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-06-05 |
| 1518580497 | Nicole Kaye Whittle | Audiologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-26 |
| 1629690375 | Kevin Alan Cox | Student in an Organized Health Care Education/Training Program | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-15 |
| 1033731443 | Joni Lynn Stanton | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-05-08 |
| 1134748536 | Abednego Tamba | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-04-15 |
| 1447885884 | Zachary Michael Cruz | Registered Nurse | 11201 Benton St, Loma Linda, CA 92357-1000 | 2020-03-05 |
| 1972141695 | Tanya Lengvilas | Pharmacist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916027 | Nicole Kristine Shah-ghassemzadeh | Internal Medicine | Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 | 2013-04-16 |
| 1760628598 | Taranjit Natt | Internal Medicine | 11201 Benton St # 111-om, Loma Linda, CA 92357 | 2008-12-29 |
| 1548355076 | Annette A Boyd -hampton | Nurse Practitioner | 11201 Benton St. -111g, Loma Linda, CA 92357 | 2006-10-03 |
| 1396830766 | Maudie Cantrell Foy | Nurse Practitioner | 11201 Benton St. (11cp), Loma Linda, CA 92357 | 2006-10-03 |
| 1427154715 | Kenneth Wong | Pharmacist | 11201 Benton St. (119), Loma Linda, CA 92357 | 2006-09-15 |
| 1801909577 | Paul Lindberg | Orthotist | 11201 Benton St./121, Loma Linda, CA 92357 | 2006-08-16 |
| 1992728703 | Harry Chen | Pharmacist | 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 | 2006-07-25 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1063877959 | Irene Thung | Pathology | 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 | 2015-12-21 |
| 1033553375 | Brian Chau | Physical Medicine & Rehabilitation | 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 | 2013-04-17 |
| Find all providers in zip 92357 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1669039202 | Neil Navendu Trivedi | Podiatrist | 11201 Benton St Fl 3, Loma Linda, CA 92357-1000 | 2019-05-20 |
| 1780236695 | Fatimah Badran | Podiatrist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2019-07-11 |
| 1558795757 | Candace J Buckley | Podiatrist | 11332 Mountain View Ave Ste A, Loma Linda, CA 92354-3854 | 2013-08-25 |
| 1912294711 | Michael Lynn Collins | Podiatrist | 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 | 2011-06-30 |
| 1093968117 | Barry Young | Podiatrist | 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 | 2008-11-03 |
| 1093826539 | Mariam Shanaz Amiri | Podiatrist | 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 | 2006-08-31 |
| 1497769731 | Mariam Amiri | Podiatrist | 11332 Mountain View Ave, Suite A, Loma Linda, CA 92354-3854 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| 1003477167 | Comprehensive Podiatric Care Inc | Podiatrist | 1317 5th St Ste 300, Santa Monica, CA 90401-1433 | 2019-06-27 |
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| City | LOMA LINDA |
| Zip Code | 92357 |
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| 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.