Active NPI
Paul Schroeder, DC
- Radiology Chiropractor
- Fresno, CA
National Provider Identifier
1114075256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- 18182
- Practice address
- 720 E Bullard Ave
Suite 104
Fresno, CA 93710-5476 - Phone
- (559) 439-4904
- NPI assigned
- Jan 8, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 18182 | CA | |
| Radiology Chiropractor | 111NR0200X | 18182 | CA | Primary |
Addresses
Primary practice location
720 E Bullard Ave
Suite 104
Fresno, CA 93710-5476
Mailing address
720 E Bullard Ave
Suite 104
Fresno, CA 93710-5476
Phone (559) 439-4904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000903 | CA | Practitioner - Chiropractic | 6709043854 | Practice locations: Clovis, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
180 W Bullard Ave
Suite 101
Clovis, CA 93612-0998
Phone (559) 439-4904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18182 | CA | MD | Radiology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114075256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E BULLARD AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105476",
"telephone_number": "559-439-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E BULLARD AVE",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105476",
"telephone_number": "559-439-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "18182",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "CA",
"license": "18182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
- Andrew Gordon Schroeder, DOCTOR OF CHIROPRACT
- Claudia Andrea Schroeder, LCSW
- Gabriel Thomas Schroeder, M.D.
- Lori Schroeder, DC
- Madeline Decesare Schroeder, D.C.
- Rebecca Schroeder, DC
- Thomas Randolph Schroeder, DC
- Jason Albert Schroer, PHARMD
- Amy Elizabeth Schuerman-Gen, M.D.
- Carson Blake Schug, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.