ALEXANDER MICHAEL LUSTBERG


Address: 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558
Phone: 7073038349

ALEXANDER MICHAEL LUSTBERG (NPI# 1225009301) 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) 1225009301
Entity Type Individual
Full Name ALEXANDER MICHAEL LUSTBERG
Credential M.D.
Practice Address 500 Doyle Park Dr
Suite G04
Santa Rosa
CA 95405-4558
Practice Telephone 7073038349
Practice Fax Number 7073032694
Mailing Telephone 7073038349
Mailing Fax Number 7073032694
Enumeration Date 2006-01-27
Last Update Date 2017-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
A86284 CA Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
A-86284 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A862840 05
DEA NUMBER BL7303833 01

Office Location

Street Address 500 DOYLE PARK DR
SUITE G04
City SANTA ROSA
State CA
Zip Code 95405-4558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871599852 David Finnigan Pediatrics 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 2005-06-23
1659807170 Peter Chang-sing, Md Internal Medicine 500 Doyle Park Dr, Suite 302, Santa Rosa, CA 95405-4558 2017-05-03
1255738803 Adventist Health Physicians Network Clinic/Center 500 Doyle Park Dr, Suite 106a, Santa Rosa, CA 95405-4558 2014-11-25
1528481983 Northern California Medical Assoc Inc Obstetrics & Gynecology 500 Doyle Park Dr, Ste 103, Santa Rosa, CA 95405-4559 2014-01-21
1073857439 Allison Cali Paine Pediatrics 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405-4558 2012-11-23
1154685121 Jonathan Michael Kurss Obstetrics & Gynecology 500 Doyle Park Dr, Suite 200, Santa Rosa, CA 95405-4558 2012-06-25
1619236452 Northern California Minimally Invasive Cardiovascular Surgery Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 500 Doyle Park Dr, Suite G-05, Santa Rosa, CA 95405-4558 2012-05-14
1578838298 Jennifer Ellen Johnson Byer Obstetrics & Gynecology 500 Doyle Park Dr, Suite G06, Santa Rosa, CA 95405-4558 2012-03-13
1023397155 Cynthia R. Ingels Nurse Practitioner 500 Doyle Park Dr, Suite 103, Santa Rosa, CA 95405-4558 2011-08-07
1598051575 Dina Vaynberg Obstetrics & Gynecology 500 Doyle Park Dr, Santa Rosa, CA 95405-4558 2011-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083230486 Lizett Camacho Counselor 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 2020-06-22
1346768918 Ingrid Tsong Student in an Organized Health Care Education/Training Program 3447 Summerfield Road, Santa Rosa, CA 95405 2017-09-05
1275051898 Jessica Peters Malmberg Student in an Organized Health Care Education/Training Program 2447 Summerfield Rd, Santa Rosa, CA 95405 2017-09-04
1306246772 Kirsten Eckert Advanced Practice Midwife 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 2014-09-03
1982034294 Mohammad Reza Saeidi Dentist 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 2013-11-22
1851631642 Debi M. Emmons Marriage & Family Therapist 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 2013-02-15
1841549979 Karie Louise Klim Marriage & Family Therapist 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 2012-09-05
1427314400 Rachel E. Page Counselor 2447 Summerfield Rd., Santa Rosa, CA 95405 2012-04-04
1689991572 Center for Integral Healing Inc. Community Health Worker 182 Farmers Lane, #203, Santa Rosa, CA 95405 2010-04-30
1588997647 Kai Morgan Dentist 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 2009-09-08
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770853806 Jay Michael Gospe Internal Medicine 1701 Pamela Dr, Santa Rosa, CA 95404-3140 2012-01-05
1790883080 Paul T. Kefalides Internal Medicine 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 2006-09-20
1144284290 Richard Mcguire Auld Jr. Internal Medicine 1210 Sonoma Avenue, Suite B, Santa Rosa, CA 95405-6648 2006-04-14
1528037124 Jeffrey Bruce Rothman Internal Medicine 4465 Abbey Ln, Santa Rosa, CA 95401-5617 2006-03-16
1366426587 Sumit Kohli Internal Medicine 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 2005-12-01
1023192093 Scott M. Trahms Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1407930571 Richard P. Permutt Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1831273804 Timothy J. Hurley Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1972683654 Santa Rosa Gastroenterology Medical Associates Internal Medicine 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 2006-10-16
1780615906 F. Otis Stephen Internal Medicine 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 2006-07-05
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Competitor

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City SANTA ROSA
Zip Code 95405

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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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