ELLIOT BRIAN SHUBIN (NPI# 1508944901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508944901 |
| Entity Type | Individual |
| Full Name | ELLIOT BRIAN SHUBIN |
| Credential | M.D. |
| Practice Address |
101 S San Mateo Dr Suite 115 San Mateo CA 94401-3819 |
| Mailing Address |
116 Creek Trl Woodside CA 94062-4605 |
| Practice Telephone | 6503479858 |
| Practice Fax Number | 6503470604 |
| Mailing Telephone | 6508517567 |
| Mailing Fax Number | 6508511674 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G19657 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
101 S SAN MATEO DR SUITE 115 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1205472115 | Catrina Patricia Blake | Nurse Practitioner | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2019-11-26 |
| 1710425921 | Comprehensive Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr, Suite 212, San Mateo, CA 94401-3819 | 2017-02-08 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1104201334 | San Mateo Rheumatology Inc. | Internal Medicine | 101 S San Mateo Dr, Suite 307, San Mateo, CA 94401-3819 | 2015-07-29 |
| 1265845077 | Aaron Kwan | Optometrist | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2014-06-09 |
| 1699111617 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 101 S San Mateo Dr, Suite 202, San Mateo, CA 94401-3819 | 2013-05-16 |
| 1548599145 | Peninsula Spine & Sports Rehab, A Rommel Hindocha Chiropractic Corp. | Chiropractor | 101 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3819 | 2009-12-10 |
| 1194959569 | Dale Jacknow | Pediatrics | 101 S San Mateo Dr, Suite 208, San Mateo, CA 94401-3819 | 2009-05-13 |
| 1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669957114 | Peninsula Obgyn Integrative | Obstetrics & Gynecology | 101 S San Mateo Dr Ste 111, San Mateo, CA 94401-3840 | 2018-10-01 |
| 1225462658 | Andrea Ruth Quintana | Obstetrics & Gynecology | 222 W 39th Ave Fl 3, San Mateo, CA 94403-4364 | 2013-08-21 |
| 1841517943 | Isabell Beddow Md A Medical Corporation | Obstetrics & Gynecology | 1 Baywood Ave Ste 5, San Mateo, CA 94402-1537 | 2010-04-28 |
| 1528235199 | Susan J Spencer, Md, Inc | Obstetrics & Gynecology | 101 S San Mateo Dr Ste 112, San Mateo, CA 94401-3840 | 2008-05-13 |
| 1477740769 | Charles E Winkelstein | Obstetrics & Gynecology | 304 Arlington Ln, San Mateo, CA 94402-1277 | 2007-10-01 |
| 1942374269 | Isabell H. Beddow | Obstetrics & Gynecology | 616 Virginia Ave, San Mateo, CA 94402-3241 | 2006-11-20 |
| 1568573889 | Sandra Beretta | Obstetrics & Gynecology | 136 N San Mateo Dr Ste 101, San Mateo, CA 94401-2779 | 2006-08-31 |
| 1265548390 | Medical Arts Obstetrics Gynecology | Obstetrics & Gynecology | 136 N San Mateo Dr, Suite 101, San Mateo, CA 94401-2779 | 2006-08-22 |
| 1801880398 | James Gregory Tappan | Obstetrics & Gynecology | 20 W 3rd Ave, Suite 602, San Mateo, CA 94402-7112 | 2005-09-12 |
| 1376543256 | Zelda Sarmiento De La Cruz | Obstetrics & Gynecology | 1 Baywood Ave Ste 7, San Mateo, CA 94402-1537 | 2005-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.