Dusty Mark Shane Robello, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

708488 Issued in CA

Practice address

4675 Camino Tassajara
Danville, CA 94506-5904

Phone

(925) 855-7800

NPI assigned

Oct 11, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1508732280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 AMBERSTONE LN",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825741",
            "telephone_number": "925-389-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 CAMINO TASSAJARA",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945065904",
            "telephone_number": "925-855-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBELLO",
        "first_name": "DUSTY",
        "middle_name": "MARK SHANE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "708488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Deanne Ritter, M.D.
• Nicole Mariah Rivas, PA-C
• Hannah Krizzia Rivera, FNP-C
• Alyna Rizvi
• Jamal Rizvi
• Rachel Robello
• Robert a. Rovner MD a Professional Corporation
• Robert Cagle MD, Incoporated
• Jacob Roberts, PHARMD
• John William Roberts, M.D.

• Licensed Vocational Nurse in Danville, CA
• Providers in Danville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.