Dusty Mark Shane Robello, LVN is a
Licensed Vocational Nurse based in Danville, California. Dusty Mark Shane Robello is licensed to practice in California (license number 708488) and his current practice location is
4675 Camino Tassajara, Danville, California. He can be reached at his office (for appointments etc.) via phone at
(925) 855-7800.
NPI number for Dusty Mark Shane Robello is 1508732280 and his current mailing address is 631 Amberstone Ln, San Ramon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508732280.
Provider's Profile
| Full Name | Dusty Mark Shane Robello |
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| Gender | Male |
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| Speciality | Licensed Vocational Nurse |
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| Location | 4675 Camino Tassajara, Danville, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508732280
- Provider Enumeration Date: 10/11/2025
- Last Update Date: 10/11/2025
Medical Identifiers
Medical identifiers for Dusty Mark Shane Robello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508732280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 708488 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dusty Mark Shane Robello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dusty Mark Shane Robello, LVN
631 Amberstone Ln,
San Ramon, CA 94582-5741
Ph: (925) 389-1134 | Dusty Mark Shane Robello, LVN
4675 Camino Tassajara,
Danville, CA 94506-5904
Ph: (925) 855-7800 |
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