MEDICARE: MRS. MICHELE MASON CUSHNER LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	18733	CA

General Provider Information

NPI Number	:	1073153193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE MASON CUSHNER LAC

Provider Business Mailing Address
First Line	:	2179 HARBOR BAY PKWY
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94502-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2179 HARBOR BAY PKWY
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94502-3019
Country	:	US
Telephone Number	:	510-865-6361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	01/07/2020

Similar Medicare Providers

1932105897 — SCRIPTSITE LTC LLC
Practice Location Address:

2173 HARBOR BAY PKWY
ALAMEDA, CA
94502-3019

Practice Phone: 510-864-4199
Practice Fax: 510-864-4196

1538233119 — DR. MICHAEL SANJOSE D.C
Practice Location Address:

2179 HARBOR BAY PKWY
ALAMEDA, CA
94502-3019

Practice Phone: 510-522-8051
Practice Fax:

1104025808 — DR. DWIGHT ERWIN JENNINGS DDS
Practice Location Address:

2187 HARBOR BAY PARKWAY
ALAMEDA, CA
94502-3019

Practice Phone: 510-522-6828
Practice Fax: 510-522-0877

1871735548 — BAY VIEW DENTAL
Practice Location Address:

2181 HARBOR BAY PKWY
ALAMEDA, CA
94502-3019

Practice Phone: 510-523-2188
Practice Fax: 510-523-2178

1598059339 — DR. WADIE O DUGHMAN DMD
Practice Location Address:

2181 HARBOR BAY PKWY
ALAMEDA, CA
94502-3019

Practice Phone: 510-521-0420
Practice Fax:

1255328555 — DR. STEPHANIE NISHIMURA BABA O.D.
Practice Location Address:

401 MCDONNEL RD
ALAMEDA, CA
94502-7748

Practice Phone: 510-865-9095
Practice Fax: 510-880-0500

Directions to “ MRS. MICHELE MASON CUSHNER LAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.