Healthcare Provider Details

I. General information

NPI: 1326743840
Provider Name (Legal Business Name): CLAIRE CHRISTINE RUSHIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
PALO ALTO CA
94304-2203
US

IV. Provider business mailing address

4761 W BAY BLVD UNIT 1504
ESTERO FL
33928-3320
US

V. Phone/Fax

Practice location:
  • Phone: 847-648-1202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberPTL15077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: