Active NPI
Leonard Neil Schulkind, MD
- Emergency Medical Services (Emergency Medicine) Physician
- San Diego, CA
National Provider Identifier
1114940285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- A43016
- Practice address
- 4490 Fanuel St
San Diego, CA 92109-4292 - Phone
- (858) 274-9116
- Fax
- (858) 274-9161
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A43016 | CA | Primary |
Addresses
Primary practice location
4490 Fanuel St
San Diego, CA 92109-4292
Mailing address
1353 Trieste Dr
San Diego, CA 92107-3949
Phone (619) 223-2351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A43016 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43016 | CA | MD | Pharmacist |
| A43016 | CA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winterhaven Emergency Physicians Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- National City, CA
- NPI 1538462320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114940285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 TRIESTE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073949",
"telephone_number": "619-223-2351",
"fax_number": "619-223-5062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 FANUEL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921094292",
"telephone_number": "858-274-9116",
"fax_number": "858-274-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULKIND",
"first_name": "LEONARD",
"middle_name": "NEIL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "A43016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A43016",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.