Active NPI 1760592984 Individual Practitioner Male Practitioner

Doug Allen Gustafson , ARDMS, RVT, RDCS

Physiological Laboratory • Agua Dulce, CA

Professional Overview & Biography Verified Profile Summary

Doug Gustafson, ARDMS, RVT, RDCS is a registered healthcare professional specializing in Physiological Laboratory in Agua Dulce, CA. Practice services are available at 34724 CAPROCK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34724 Caprock Rd

Agua Dulce, CA 913905422

Telephone 6612680791

Fax 6612680792

Associated Practice Facility / Clinic

🏢 Cardiac Imaging Services, Inc. Facility NPI 1437323326

Specialty Benchmarks & Practice Insights

Comparative analytics for Physiological Laboratory in Agua Dulce, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Agua Dulce, CA (7 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physiological Laboratory Primary Specialty

NUCC Taxonomy Code: 293D00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 34724 CAPROCK RD, AGUA DULCE, CA 913905422 (Tel: 6612680791)

📍

Updated Business Mailing Address July 08, 2007

Registered at 34724 CAPROCK RD, AGUA DULCE, CA 913905422 (Tel: 6612680791)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DOUG GUSTAFSON, ARDMS,RVT,RDCS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physiological Laboratory

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760592984

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

34724 Caprock Rd

Agua Dulce, CA 913905422

Phone: 6612680791

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.