MR. SHAUN MARCHISHECK (NPI# 1588149066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588149066 |
| Entity Type | Individual |
| Full Name | MR. SHAUN MARCHISHECK |
| Credential | CPT |
| Practice Address |
1628 Noe Ave San Mateo CA 94401-3648 |
| Practice Telephone | 6507274611 |
| Mailing Telephone | 6507274611 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
6235 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH | 6235 | 01 |
| Street Address |
1628 NOE AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3648 |
| 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 | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071882 | Gerardo Quinones Sr. | Technician, Pathology | 839 Illinois Ave., Colton, CA 92324-9232 | 2020-10-19 |
| 1467065300 | Rachel Perez | Technician, Pathology | 12569 Avenue 80, Pixley, CA 93256-9715 | 2020-08-29 |
| 1619586930 | Onestop Mobile Phlebotomy | Technician, Pathology | 4214 E Los Angeles Ave Apt 2, Simi Valley, CA 93063-3373 | 2020-07-23 |
| 1376151217 | Marco Dimailig | Technician, Pathology | 624 S Berendo St Apt 404, Los Angeles, CA 90005-1749 | 2020-07-16 |
| 1033735535 | Gentle Butterfly Phlebotomy Services LLC | Technician, Pathology | 568 Hacienda Ave, Perris, CA 92571-2810 | 2020-06-19 |
| 1861016958 | Jonathan Godes | Technician, Pathology | 878 Compass Way, San Diego, CA 92154-5839 | 2020-06-03 |
| 1467076067 | Darlene Bennett | Technician, Pathology | 8450 Carob St, Fontana, CA 92335-1221 | 2020-05-31 |
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1699395202 | Tanya M Atelian | Technician, Pathology | 195 E Mountain Dr, Santa Barbara, CA 93108-1025 | 2020-04-23 |
| 1811528490 | Pamela L Carter | Technician, Pathology | 27668 Dogwood St, Murrieta, CA 92562-4377 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
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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.