Paul Russell Gustavson, PA-C
Paul Russell Gustavson is a Physician Assistant provider (Physician Assistant) practicing in Eureka, CA, registered in the NPPES registry with NPI 1295754752 since 2006.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295754752 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Paul Russell Gustavson |
| Credential | PA-C |
| Sex | Male |
| Practice address | 2826 HARRIS ST, Eureka, CA, 95503 |
| Phone | 7074438066 |
| Fax | 7072683250 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2021-11-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | PA17059 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PA170590 | Medicaid | CA | — |
Copy-ready billing details
Provider: Paul Gustavson, PA-C NPI: 1295754752 Taxonomy: 363A00000X (Physician Assistant) Address: 2826 HARRIS ST, Eureka, CA, 95503
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811955735 | Timothy Wimmer | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1245268549 | Raymond Koch | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1881622520 | Humboldt Orthopaedic Medical Associates, Inc. | Organization | Orthopaedic Surgery Physician | Eureka, CA |
| 1215967773 | Edward Emmons | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1962433235 | Mark Lau | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1124052725 | Nathan Shishido | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1508891029 | Williiam Kilgore | Individual | Orthopaedic Surgery Physician | Eureka, CA |
| 1750300216 | Ryan Larsen | Individual | Surgical Physician Assistant | Eureka, CA |
Verify this record
Cross-check NPI 1295754752 against the authoritative CMS record: view Paul Russell Gustavson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-11-02.