Individual provider Active NPI

Thomas Edward Shaughnessy, MD

  • Anesthesiology Physician
  • Burlingame, CA
National Provider Identifier
1902843535
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G76267 Issued in CA
Practice address
1783 El Camino Real
Burlingame, CA 94010-3205
Phone
(650) 696-5400
Fax
(650) 696-5208
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G76267 CA Primary
Hospitalist Physician 208M00000X G76267 CA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X G76267 CA

Addresses

Primary practice location

1783 El Camino Real
Burlingame, CA 94010-3205

Mailing address

PO Box 7793
San Francisco, CA 94120-7793

Other practice location 1

1375 Sutter St Ste 110
San Francisco, CA 94109-5465
Phone (415) 600-7618

Other practice location 2

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4000

Other practice location 3

3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 576-4500

Other practice location 4

66 Bovet Rd
San Mateo, CA 94402-3125
Phone (650) 696-5592

Other practice location 5

633 Folsom St
San Francisco, CA 94107-3600
Phone (415) 600-7618

Other identifiers 1

IdentifierTypeStateIssuer
00G762670MedicaidCA

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
I20080130000748 CA Practitioner - Anesthesiology 5395827265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Temple University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Associates Medical Group, IncGroup PAC ID 1850334384, 108 clinicians

Practice addresses (Care Compare)

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76267CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Oct 12, 2014 Accepting new patients
University Anesthesia Medical Group Anesthesiology Past Accepting new patients
Northern California Anesthesia Anesthesiology Past Accepting new patients
Sutter Valley Medical Foundation Past Accepting new patients

Locations

1783 El Camino Real
Burlingame, CA 94010
Phone (650) 696-5400

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

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

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

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

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

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

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

2801 Eureka Way
Redding, CA 96001
Phone (530) 246-9000

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

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

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

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

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

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Interoperability endpoints

  • Direct secure messaging: tshaughnessy30678@direct-ucsfmedicalcenter.org
  • Direct secure messaging: tshaughnessymd46085@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1902843535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 EL CAMINO REAL",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103205",
            "telephone_number": "650-696-5400",
            "fax_number": "650-696-5208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Sutter St Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095465",
            "country_code": "US",
            "telephone_number": "415-600-7618",
            "fax_number": "415-600-7625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Mark West Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031436",
            "country_code": "US",
            "telephone_number": "707-576-4000",
            "fax_number": "707-573-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 Chanate Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041707",
            "country_code": "US",
            "telephone_number": "707-576-4500",
            "fax_number": "707-576-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Bovet Rd",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944023125",
            "country_code": "US",
            "telephone_number": "650-696-5592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Folsom St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941073600",
            "country_code": "US",
            "telephone_number": "415-600-7618",
            "fax_number": "415-600-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G76267",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G76267",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "G76267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G762670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.