MEDICARE: DR. RALPH MASAYUKI SHISHIDO M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G07259	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184631681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH MASAYUKI SHISHIDO M.D.

Provider Business Mailing Address
First Line	:	591 CAMINO DE LA REINA
Second Line	:	SUITE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3102
Country	:	US
Telephone Number	:	619-325-8748
Fax Number	:	619-325-8732

Provider Business Practice Location Address
First Line	:	591 CAMINO DE LA REINA
Second Line	:	SUITE 200
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3102
Country	:	US
Telephone Number	:	619-325-8748
Fax Number	:	619-325-8732

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1588648380 — WESTERN HEALTH RESOURCES
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 1010 A
SAN DIEGO, CA
92108-3102

Practice Phone: 619-293-6800
Practice Fax: 619-692-3119

1477538858 — WESTERN HEALTH RESOURCES
Practice Location Address:

591 CAMINO DE LA REINA , SUITE #1010 B
SAN DIEGO, CA
92108-3102

Practice Phone: 619-293-6820
Practice Fax: 619-692-3121

1720008998 — DR. JOSHUA DAVID GOLDEN M.D., F.A.P.A.
Practice Location Address:

591 CAMINO DE LA REINA , STE 1030
SAN DIEGO, CA
92108-3102

Practice Phone: 619-220-0201
Practice Fax:

1770667024 — DR. GAYLIA D. BROWN PH.D.
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 318
SAN DIEGO, CA
92108-3102

Practice Phone: 619-260-0774
Practice Fax:

1710050711 — DR. LINDA HAMMOND PHD, MFT
Practice Location Address:

591 CAMINO DE LA REINA , STE. 918
SAN DIEGO, CA
92108-3102

Practice Phone: 858-729-9986
Practice Fax: 858-456-1380

1174671325 — MRS. RICHARD KASTANIAS SR.
Practice Location Address:

591 CAMINO DE LA REINA , SUITE 918
SAN DIEGO, CA
92108-3102

Practice Phone: 619-417-4923
Practice Fax: 619-294-8190

Directions to “ DR. RALPH MASAYUKI SHISHIDO M.D.” 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.