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

Shanshan Elissa Gustafson

Individual provider Internal Medicine Physician · NPI 1417537259

Shanshan Elissa Gustafson is an Internal Medicine Physician in San Francisco, California. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2425 Geary Blvd
San Francisco, CA 94115-3358
Phone: (415) 833-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence D0097815 (MD)

Record details

NPI number1417537259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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