Active NPI
Thomas Edward Shaughnessy, MD
- Anesthesiology Physician
- Burlingame, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G76267
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G762670 | Medicaid | CA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400
Hospital & facility affiliations
- Peninsula Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76267 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Aretaeus Telemedicine Inc. | Current | 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
- tshaughnessy30678@direct-ucsfmedicalcenter.org
- 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.
-
- Anesthesiology Physician
- Burlingame, CA
- NPI 1215985023
-
- Critical Care Medicine (Internal Medicine) Physician
- Santa Rosa, CA
- NPI 1548490261
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1871541649
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.