Individual provider Active NPI

Pascal R. Fuchshuber, MD

  • Surgery Physician
  • Antioch, CA
National Provider Identifier
1295885002
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
568657 Issued in CA
Practice address
4053 Lone Tree Way Ste 200
Antioch, CA 94531
Phone
(925) 776-7725
Fax
(925) 756-3440
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A66285 CA
Family Medicine Physician 207Q00000X A66285 CA
Surgery Physician 208600000X 568657 CA Primary

Addresses

Primary practice location

4053 Lone Tree Way Ste 200
Antioch, CA 94531

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (925) 766-7725

Other practice location 1

1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000

Other practice location 2

1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000

Other identifiers 2

IdentifierTypeStateIssuer
A66285OtherCASTATE MEDICAL LICENSE
00A662850MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000507 CA Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular DiseasePractitioner - Surgical Oncology 7012190465 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice, Peripheral Vascular Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (650) 845-7649

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
568657CAMDSurgery Physician
A66285CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Vohra Wound Physicians of Ca, P.C. Family Medicine CurrentSince Mar 26, 2018 Accepting new patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Nov 3, 2019 Accepting new patients
Marshall Medical Center Family Medicine CurrentSince May 1, 2022 Accepting new patients
Marshall Medical Center CurrentSince May 1, 2022 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Jul 19, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 3, 2019 Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients

Locations

4053 Lone Tree Way
Ste 201
Antioch, CA 94531
Phone (925) 756-3400

4053 Lone Tree Way
Ste 200
Antioch, CA 94531
Phone (925) 756-3400

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Interoperability endpoints

  • Direct secure messaging: pfuchshuber409902@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1295885002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "925-766-7725",
            "fax_number": "925-756-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4053 LONE TREE WAY STE 200",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94531",
            "telephone_number": "925-776-7725",
            "fax_number": "925-756-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 S Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965318",
            "country_code": "US",
            "telephone_number": "925-295-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 S Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965318",
            "country_code": "US",
            "telephone_number": "925-295-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCHSHUBER",
        "first_name": "PASCAL",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A66285",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66285",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "568657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A66285",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A662850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.