Provider Demographics
NPI:1063000560
Name:BARSTOW, SHAWN GREGORY
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:GREGORY
Last Name:BARSTOW
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:SHAWN
Other - Middle Name:GREGORY
Other - Last Name:SALINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1459 18TH STREET
Mailing Address - Street 2:PMB 224
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107
Mailing Address - Country:US
Mailing Address - Phone:415-308-2187
Mailing Address - Fax:
Practice Address - Street 1:730 22ND STREET #4
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107
Practice Address - Country:US
Practice Address - Phone:916-798-1746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53165225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist