Doug Allen Gustafson, ARDMS,RVT,RDCS
NPI 1760592984ActiveIndividual· Physiological Laboratory· Agua Dulce, CA
Physiological Laboratory (ARDMS,RVT,RDCS) in Agua Dulce, California, with an NPI issued in August 2006.
Overview
| NPI | 1760592984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARDMS,RVT,RDCS |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Agua Dulce
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