SHANSHAN ELISSA GUSTAFSON
NPI 1417537259
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Shanshan Elissa Gustafson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANSHAN ELISSA GUSTAFSON (NPI 1417537259) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shanshan Elissa Gustafson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shanshan Gustafson's NPI number?
The NPI number for Shanshan Gustafson is 1417537259. It was assigned to this individual provider in the NPPES registry on April 14, 2021. The provider is also known as Elissa Shanshan Heh.
Where is Shanshan Gustafson located?
Shanshan Gustafson practices at 2425 Geary Blvd, San Francisco, CA 94115. The listed phone number is (415) 833-2000.
What is Shanshan Gustafson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shanshan Gustafson enrolled in Medicare?
Yes. Shanshan Gustafson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shanshan Gustafson was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shanshan Elissa Gustafson · NPI 1417537259
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1417537259 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2425 GEARY BLVD, San Francisco, CA 94115-3358
- **Phone:** (415) 833-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417537259) · Data from the CMS NPPES public registry.