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NPI Code Detail

MEDICARE: SUNSHINE ANESTHESIA A MEDICAL CORPORATION

MEDICARE: SUNSHINE ANESTHESIA A MEDICAL CORPORATION
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
1207L00000XAnesthesiology PhysicianG28782CA
2207L00000XAnesthesiology PhysicianG27171CA
3207LP2900XPain Medicine (Anesthesiology) PhysicianG28782CA
4207LP2900XPain Medicine (Anesthesiology) PhysicianG27171CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972529162
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE ANESTHESIA A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 38069 MARTHA AVE
Second Line : SUITE 300
City : FREMONT
State : CA
Zip : 94536-3811
Country : US
Telephone Number : 510-744-9153
Fax Number : 510-744-9399
Provider Business Practice Location Address
First Line : 38069 MARTHA AVE
Second Line : SUITE 300
City : FREMONT
State : CA
Zip : 94536-3811
Country : US
Telephone Number : 510-744-9153
Fax Number : 510-744-9399
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : RACHEL ANNA MOORE
Credential :
Telephone Number : 415-846-1803
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/29/2016

Similar Medicare Providers

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Practice Location Address:
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FREMONT, CA
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Practice Fax: 510-791-0660
1609810290 — DR. KAY L SMARZINSKI O.D.
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1629091939 — MARILEE A SCHUCHARD M.D.
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1427072560 — WILLIAM L CLAUSON M.D.
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1104840586 — DR. BARBARA HUGHES KOSTICK M.D.
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1932213782 — DR. STEPHEN LYLE COLLINS D.C.
Practice Location Address:
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94536-3811
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Directions to “SUNSHINE ANESTHESIA A MEDICAL CORPORATION ” 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.

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