Individual provider Active NPI

Lindsey Schultz, PA-C

  • Physician Assistant
  • Emeryville, CA
National Provider Identifier
1285134916
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55760 Issued in CA
Practice address
2100 Powell St Ste 900
Emeryville, CA 94608
Phone
(510) 350-2777
NPI assigned
Feb 20, 2018
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55760 CA Primary
Physician Assistant 363A00000X 10694820-1206 UT

Addresses

Primary practice location

2100 Powell St Ste 900
Emeryville, CA 94608

Mailing address

955 E 250 N
Springville, UT 84663-1600

Other practice location 1

630 Medical Dr
Bountiful, UT 84010-4908
Phone (775) 204-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180829003943 CA Practitioner - Physician Assistant 0143570838 Reassigns benefits to 1 organization
I20200910001766 UT Practitioner - Physician Assistant 0143570838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

3460 S Pioneer Pkwy
West Valley, UT 84120-2049
Phone (801) 783-5011

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 783-5011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10694820-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Neurology PC CurrentSince Jul 13, 2018 Accepting new patients
Cep America - Neurology PC CurrentSince Jul 13, 2018 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Aug 4, 2020 Accepting new patients

Locations

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

400 W Pueblo St
#1182
Santa Barbara, CA 93105

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 428-3389

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1285134916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E 250 N",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-350-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840104908",
            "country_code": "US",
            "telephone_number": "775-204-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55760",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10694820-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.