Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639261704 Deactivated / Inactive NPI Male Practitioner

Dr. Eugh Shibasaki , DDS

General Practice • South Pasadena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugh Shibasaki has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date January 26, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Eugh Shibasaki, DDS was a registered General Practice practicing in South Pasadena, CA. Throughout an active medical career spanning 15 years, Dr. Shibasaki provided care at the practice location at 1420 FAIR OAKS AVE until profile deactivation on 2021-01-26.

Practice Location & Contact Primary Location

Practice Address

1420 Fair Oaks Ave

South Pasadena, CA 91030

Telephone 6267991295
Fax 6264036592

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in South Pasadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
1 Specialists

Practicing in South Pasadena, CA (2300 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA 37739

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 26, 2021

Record deactivated on January 26, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1420 FAIR OAKS AVE, SOUTH PASADENA, CA 91030 (Tel: 6267991295)

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Updated Business Mailing Address July 08, 2007

Registered at 1420 FAIR OAKS AVE, SOUTH PASADENA, CA 91030 (Tel: 6267991295)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EUGH SHIBASAKI, DDS

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

General Practice (License #37739 in CA)

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Initial NPI Registration & Enumeration September 28, 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: 1639261704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Deactivation Date: January 26, 2021

Mailing Address

1420 Fair Oaks Ave

South Pasadena, CA 91030

Phone: 6267991295

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.