SHANE ASHBAUGH (NPI# 1821635467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821635467 |
| Entity Type | Individual |
| Full Name | SHANE ASHBAUGH |
| Practice Address |
38690 Stivers St Ste A Fremont CA 94536-5276 |
| Practice Telephone | 5102481040 |
| Mailing Telephone | 5102481040 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
58356 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZX2200X |
Specialist/Technologist, Other Specialization: Orthopedic Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
38690 STIVERS ST STE A |
| City | FREMONT |
| State | CA |
| Zip Code | 94536-5276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003966359 | Alexander P Sah | Orthopaedic Surgery | 38690 Stivers St Ste A, Fremont, CA 94536-5336 | 2007-01-11 |
| 1588023634 | Amy Nguyen | Physician Assistant | 38690 Stivers St Ste A, Fremont, CA 94536-5276 | 2016-02-17 |
| 1447693866 | Jet Jianqing Liu | Orthopaedic Surgery | 38690 Stivers St Ste A, Fremont, CA 94536 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342036 | Aria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 37179 Fremont Blvd, Fremont, CA 94536 | 2020-10-06 |
| 1811555840 | Rebecca Cole | Psychologist | 5149 High Meadow Court, Fremont, CA 94536 | 2019-06-04 |
| 1972958247 | Priyanka Gwalani | Internal Medicine | 656 Mowry Ave., Fremont, CA 94536 | 2016-04-25 |
| 1700258522 | Mats Hellsten | Marriage & Family Therapist | 38950 Blacow Road, Suite D, Fremont, CA 94536 | 2015-10-21 |
| 1255727293 | Nicholas Andrew Phillips | Family Medicine | 556 Mowry Ave Ste 200, Fremont, CA 94536 | 2015-04-07 |
| 1356735120 | Anthony Chukwunonso Okereke | Pharmacist | 35829 Cabrillo Drive, Fremont, CA 94536 | 2015-03-19 |
| 1992118590 | Aaron Jake Bera | Chiropractor | 35666 Gleason Ln, Fremon, CA 94536 | 2014-06-11 |
| 1467898809 | Vijayalakshmi Natarajan | Health Educator | 4941 Roselle Cmn, Fremont, CA 94536 | 2013-05-13 |
| 1184968919 | Linda Kim | Behavioral Analyst | 3750 Tamayo St Apt 93, Fremont, CA 94536 | 2012-11-16 |
| 1346518487 | Arsen Rhoel Donesa | Dentist | 37149 Fremont Boulevard, Fremont, CA 94536 | 2011-12-04 |
| Find all providers in zip 94536 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575512 | Jennifer Ann Gregovich | Physician Assistant | 39400 Paseo Padra Parkway, Embarcadero Building, General Surgery Dept., Fremont, CA 94538-2310 | 2006-12-18 |
| 1528546074 | Phoenix Di Ying | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-08-06 |
| 1730572603 | Nina Khatibi | Physician Assistant | 39141 Civic Center Dr, 335, Fremont, CA 94538-5818 | 2015-03-16 |
| 1891108270 | Susan Glaubiger | Physician Assistant | 38690 Stivers St, #a, Fremont, CA 94536-5279 | 2014-06-03 |
| 1518280726 | Melanie Castro | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2010-03-03 |
| 1710125919 | Kevin Gary Loontjer | Physician Assistant | 2740 N Clarkson St, Fremont, NE 68025-7716 | 2009-01-26 |
| 1780822031 | Michael Hom | Physician Assistant | 3868 Mowry Ave, Fremont, CA 94538-1430 | 2009-01-24 |
| 1700099165 | Gurleen Deol | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-05-08 |
| 1164583092 | Sean M. Kennedy | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Dept - Embarcadero Bldg, Fremont, CA 94538-2310 | 2006-12-13 |
| 1609937523 | Elaine Dolores Berger | Physician Assistant | 39400 Paseo Padre Pkwy, Surgery Department, Fremont, CA 94538-2310 | 2006-12-13 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on SHANE ASHBAUGH.
| 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.