Irwin Shelub, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Creston, CA
NPI 1104855246 · NPPES record last updated Jan 5, 2017
Key facts
- NPI
- 1104855246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- C36888 (CA)
- Practice address
- 4975 Iron Springs Rd
Creston, CA 93432-9794 - Phone
- (650) 520-0635
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C36888 | CA | MD | Pulmonary Disease Physician |
| 36888 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Pulmonary | Pulmonary Disease | Current | Accepting new patients |
| Palo Alto Medical Foundation | Past | Accepting new patients | |
| Cogent Healthcare of Daly City, P.C. | Past | Accepting new patients | |
| Daly City Hospitalist Group, Inc. | Past |
Accepting new patients |
Locations
1900 Sullivan Ave
#813
Daly City, CA 94015
Phone (650) 991-6380
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
901 Campus Dr
Ste 306
Daly City, CA 94015
Phone (415) 991-0600
901 Campus Dr
Ste 308
Daly City, CA 94015
Phone (650) 991-0600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C36888 | CA | Yes |
Addresses
Primary practice location
4975 Iron Springs Rd
Creston, CA 93432-9794
Mailing address
4975 Iron Springs Rd
Creston, CA 93432-9794
Phone (650) 520-0635
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.