Alexander M Lustberg (NPI# 1225009301, PAC ID# 7113991563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1225009301 |
| PAC ID by PECOS | 7113991563 |
| Professional Enrollment ID | I20040823000661 |
| Full Name | Alexander M Lustberg |
| Organization Legal Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Address |
1701 4th St Suite 100 Santa Rosa CA 95404-3661 |
| Phone Number | 7075693234 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597678490 |
| Number of Group Practice Members | 71 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050174 | SANTA ROSA MEMORIAL HOSPITAL |
| 051321 | HEALDSBURG DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 | 7075693234 | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| 500 Doyle Park Dr, Suite G 04, Santa Rosa, CA 95405-4559 | 7073038360 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | NORTHERN CALIFORNIA MEDICAL ASSOC INC |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica P Flinders | Nurse Practitioner | Northern California Medical Assoc Inc | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 |
| Ligaya F Park | Dermatology | Northern California Medical Assoc Inc | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 |
| Rachel A Mayorga | Internal Medicine | Northern California Medical Assoc Inc | 810 Healdsburg Ave, Healdsburg, CA 95448-3613 |
| Sharon A Hunter | Nurse Practitioner | Northern California Medical Assoc Inc | 45081 Little Lake St, Mendocino, CA 95460 |
| Allan Garfield | Cardiovascular Disease (cardiology) | Northern California Medical Assoc Inc | 719 Southpoint Blvd, B, Petaluma, CA 94954-8004 |
| John D Tomasin | Orthopedic Surgery | Northern California Medical Assoc Inc | 1310 Prentice Dr, Suite G, Healdsburg, CA 95448-5005 |
| Michael Joseph Lazar Jr. | Urology | Northern California Medical Assoc Inc | 1140 Sonoma Ave, Suite 1a, Santa Rosa, CA 95405-4817 |
| Kenneth A Murachanian | Internal Medicine | Northern California Medical Assoc Inc | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 |
| James Francis Leoni | Family Medicine | Northern California Medical Assoc Inc | 1116 B St, Petaluma, CA 94952-4054 |
| James F. Yusuf Q. Erskine | Osteopathic Manipulative Medicine | Northern California Medical Assoc Inc | 506 S Main St, Sebastopol, CA 95472-4261 |
| Street Address |
1701 4TH ST SUITE 100 |
| City | SANTA ROSA |
| State | CA |
| Zip | 95404-3661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Kim E. Schmitt | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| I-tsyr Shaw | Endocrinology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Razi M Arifuddin | Gastroenterology | Northern California Medical Assoc Inc | 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 |
| Kent William Blakely | Rheumatology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Stefan M Zechowy | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| Judith Seargeant-holmes | Physician Assistant | Northern California Medical Assoc Inc | 1701 4th St, Santa Rosa, CA 95404-3661 |
| Ashleigh Erin Korves | Podiatry | Northern California Medical Assoc Inc | 1701 4th St, Suite 100, Santa Rosa, CA 95404-3661 |
| Mark R Homicz | Otolaryngology | Northern California Medical Assoc Inc | 1701 4th St, Suite 120, Santa Rosa, CA 95404-3661 |
| Isha Shrestha | Endocrinology | Northern California Medical Assoc Inc | 1701 4th St, Suite 210, Santa Rosa, CA 95404-3661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin E Brandt | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Colin E Bauer | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Scott A Sewell | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Lesley M Field | Physician Assistant | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Steven L Marlowe | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Kofi E Inkabi | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Michael Hector Caccavale | Interventional Radiology | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Raymond F Conway Iii | Interventional Radiology | Redwood Radiology Group Inc | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| David Claude Sidney | Infectious Disease | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 | |
| Robert M Pousman | Anesthesiology | Anesthesia and Analgesia Medical Group, Inc. | 3325 Chanate Rd, Santa Rosa, CA 95404-1707 |
| Find all physicians in zip 95404 | |||
| City | SANTA ROSA |
| Zip Code | 95404 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | SANTA ROSA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Alexander M Lustberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.