MR. DOUG ALLEN GUSTAFSON ARDMS,RVT,RDCS
NPI 1760592984
Physiological Laboratory in Agua Dulce, CA

Active since August 30, 2006
34724 CAPROCK RD, AGUA DULCE, CA 91390(661) 268-0791(661) 268-0792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Doug Allen Gustafson Ardms,rvt,rdcs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUG ALLEN GUSTAFSON ARDMS,RVT,RDCS (NPI 1760592984) is an individual physiological laboratory provider in Agua Dulce, California and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1760592984
Entity TypeIndividualMale
Primary Taxonomy293D00000X
Provider Legal NameMR. DOUG ALLEN GUSTAFSONCredential: ARDMS,RVT,RDCS
Location Address34724 CAPROCK RDAgua Dulce, CA 91390-5422
Mailing Address34724 Caprock RdAgua Dulce, CA 91390-5422 · (661) 268-0791 · Fax (661) 268-0792
Fax(661) 268-0792
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760592984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

34724 CAPROCK RD, Agua Dulce, CA 91390

Other Identifiers 1

Medicare ID-Type UnspecifiedTG128CA · Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physiological Laboratory
34724 CAPROCK RD
AGUA DULCE, CA 91390

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 Doug Gustafson's NPI number?

The NPI number for Doug Gustafson is 1760592984. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Doug Gustafson located?

Doug Gustafson practices at 34724 Caprock Rd, Agua Dulce, CA 91390. The listed phone number is (661) 268-0791.

What is Doug Gustafson's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Doug Gustafson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.