DR. EUGENE MARK SHUSTERMAN (NPI# 1487608857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487608857 |
| Entity Type | Individual |
| Full Name | DR. EUGENE MARK SHUSTERMAN |
| Credential | M.D. |
| Practice Address |
1048 Serpentine Ln Suite 301 Pleasanton CA 94566-4734 |
| Practice Telephone | 9254257363 |
| Practice Fax Number | 8779753063 |
| Mailing Telephone | 9254257363 |
| Mailing Fax Number | 8779753063 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 21493 | OK | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | A062178 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1048 SERPENTINE LN SUITE 301 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182392 | Terryol Brandon Noall | General Practice | 5635 W Las Positas Blvd Ste 401, Pleasanton, CA 94588-4076 | 2014-11-25 |
| 1376691840 | Jag Medical Associates | General Practice | 809 N Bryant, Pleasanton, TX 78064 | 2007-01-08 |
| 1891898482 | Enrique Garcia | General Practice | 130 Water St, Pleasanton, TX 78064 | 2006-09-07 |
| 1528098860 | Fredric Charles Morgan | General Practice | 5776 Stoneridge Mall Rd, Suite 175, Pleasanton, CA 94588-2832 | 2006-07-03 |
| 1568965655 | Mario A. Malvehy, M.d., Inc | General Practice | 4695 Chabot Dr Ste 200, Pleasanton, CA 94588-2756 | 2018-03-14 |
| 1629375001 | Fredric C Morgan, Md, Inc | General Practice | 1491 Cedarwood Ln, Suite A, Pleasanton, CA 94566-6154 | 2011-02-19 |
| 1417277617 | Redwood Medical Center | General Practice | 3128 Santa Rita Rd, Pleasanton, CA 94566-8300 | 2010-06-10 |
| 1063515658 | Texas Medical Building Inc | General Practice | 130 Water St, Pleasanton, TX 78064 | 2006-09-07 |
| 1033146659 | Janice E Afruma | General Practice | 4725 First St, Ste 100, Pleasanton, CA 94566 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
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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.