BRUCE KAZUFUSA SHIBAO
Massage Therapist

Address: 544 Laidley St, San Francisco, CA 94131-3040

BRUCE KAZUFUSA SHIBAO (NPI# 1518549914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518549914
Entity Type Individual
Full Name MR. BRUCE KAZUFUSA SHIBAO
Gender Male
Credential CMT, GCFP
Practice Address 544 Laidley St
San Francisco
CA 94131-3040
Practice Telephone 4152694579
Mailing Address 544 Laidley St
San Francisco
CA 94131-3040
Mailing Telephone 4155844520
Certification Date 2021-04-25
Enumeration Date 2021-04-25
Last Update Date 2021-04-25
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 225700000X Massage Therapist 193400000X SINGLE SPECIALTY GROUP CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 544 LAIDLEY ST
City SAN FRANCISCO
State CA
Zip Code 94131-3040

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1033245352 Sal Nunez I Psychologist - Clinical 76 Cityview Way, San Francisco, CA 94131 2007-02-23
1346441128 Edward Franklin Savio Dentist 1712 Church St, San Francisco, CA 94131 2007-05-30
1689046799 Emily Berman Behavioral Analyst 36a Monterey Blvd, San Francisco, CA 94131 2015-10-28
1104111020 Margarite Leah Morch Marriage & Family Therapist 18 Whitney Street, San Francisco, CA 94131 2011-06-20
1205254919 Sean Kleiman Behavioral Analyst 1 Crestline Dr., Unit 1, San Francisco, CA 94131 2014-03-31
1215119375 Diamond Lodge Community Based Residential Treatment Facility, Mental Illness 20 Arlington St, Sf, CA 94131 2007-11-30
1174901656 Sarah Herrick Behavioral Analyst 36a Monterey Blvd, San Francisco, CA 94131 2015-05-15
1841578127 Amy Lynn Litvin · Amy Lynn Kuo Registered Nurse 225 30th St - On Lok Lifeways, 2nd Floor, San Francisco, CA 94131 2011-08-03
1831556281 Robin Doll Behavioral Analyst 36a Monterey Blvd, San Francisco, CA 94131 2016-01-15
1477930436 Deiredre Ryan-Booth Behavioral Analyst 36 A Monterey Blvd, San Francisco, CA 94131 2015-04-29
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538741384 Manisha Jones Massage Therapist 1328 Treat Way, San Francisco, CA 94110-4736 2021-04-22
1053905588 Kevin Burns Massage Therapist 2940 Geary Blvd, San Francisco, CA 94118-3305 2021-02-25
1528652393 Monisha Bibbs Massage Therapist 83 Maxwell Ct, San Francisco, CA 94103-3575 2021-02-23
1720684954 Chadavarin Wessarojkit Massage Therapist 5754 Geary Blvd, San Francisco, CA 94121-2112 2020-12-11
1326643396 Irina Clarkson Massage Therapist 835 Turk St Apt 614, San Francisco, CA 94102-7104 2020-11-30
1578164265 Gary L Johnson Massage Therapist 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 2020-11-08
1467051078 Warakorn Thepsutam Massage Therapist 270 26th Ave Apt 8, San Francisco, CA 94121-1153 2020-10-23
1790384550 Zhijian Zheng Massage Therapist 339a W Portal Ave, San Francisco, CA 94127-1411 2020-10-22
1629677935 Nadezhda Krutikova Massage Therapist 950 Pine St Apt 2, San Francisco, CA 94108-2910 2020-10-19
1073120333 Pamela Yu Massage Therapist 69 Maxwell Ct, San Francisco, CA 94103-3575 2020-09-30
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Competitor

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City SAN FRANCISCO
Zip Code 94131

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.