Individual
DR. JAMES GORDON CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(410) 428-8645
Mailing address
PO BOX 1867, EL GRANADA, CA 94018-1867
(410) 428-8645
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
D61862
MD
2086S0127X
Trauma Surgery Physician
13793-320
WI
2086S0127X
Trauma Surgery Physician
Primary
D61862
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373695
—
WI
05
—
405396600
—
MD
Enumeration date
06/07/2006
Last updated
11/14/2025
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