Organization Active NPI

David M Shultz M D , Inc

  • Ophthalmology Physician
  • Northridge, CA
National Provider Identifier
1497851497
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G13046 Issued in CA
Legal business name
DAVID M SHULTZ M D , INC
Practice address
18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4145
Phone
(818) 349-8300
Fax
(818) 349-2214
NPI assigned
Sep 16, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. David M Shultz, MD
Title
President
Phone
(818) 349-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G13046 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4145

Mailing address

18350 Roscoe Blvd
Suite 101
Northridge, CA 91325-4109
Phone (818) 349-8300

Other identifiers 1

IdentifierTypeStateIssuer
00G130460MedicaidCA

National Provider Directory

National Provider Directory

Locations

18350 Roscoe Blvd
Ste 101
Northridge, CA 91325
Phone (818) 349-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1497851497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254109",
            "telephone_number": "818-349-8300",
            "fax_number": "818-349-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254145",
            "telephone_number": "818-349-8300",
            "fax_number": "818-349-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M SHULTZ M D , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-349-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G13046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G130460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.