Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon M. Rush, DPM

Individual provider Podiatrist · NPI 1083788681

Shannon M. Rush, DPM is a Podiatry in Pleasanton, California. Graduated from California School of Podiatric Medicine in 1997, 29 years ago. Practices with Bass Medical Group, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4626 Willow Rd Ste 200
Pleasanton, CA 94588-8564
Phone: (925) 463-0470
Fax: (844) 830-3541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 E El Camino Real, Sunnyvale, CA 94040 — (650) 934-7090

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E4271 (CA)

Record details

NPI number1083788681
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 17, 2006
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address4626 Willow Rd, Ste 200, Pleasanton, CA 94588-8564

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Bass Medical Group — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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