Active NPI
Edward J Schulte, M.D.
- Diagnostic Radiology Physician
- Palm Desert, CA
National Provider Identifier
1548216575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G12333
- Practice address
- 74000 Country Club Dr Ste E1
Palm Desert, CA 92260-1678 - Phone
- (951) 304-9779
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | G12333 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G12333 | CA | Primary |
Addresses
Primary practice location
74000 Country Club Dr Ste E1
Palm Desert, CA 92260-1678
Mailing address
44489 Town Center Way Ste D540
Palm Desert, CA 92260-2723
Phone (951) 304-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G123330 | 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 |
|---|---|---|---|
| G12333 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| IHS Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Healthcare Specialists Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Open System MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
| Open Air MRI Centers Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Physicians Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Imaging Healthcare Specialists
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1497148456
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1750498093
-
- Vascular & Interventional Radiology Physician
- San Diego, CA
- NPI 1164475174
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1891741831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1548216575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44489 TOWN CENTER WAY STE D540",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602723",
"telephone_number": "951-304-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74000 COUNTRY CLUB DR STE E1",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922601678",
"telephone_number": "951-304-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTE",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G12333",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G12333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G123330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.