Jeffrey A Sulitzer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51841 Issued in CA

Practice address

1037 E Palmdale Blvd Ste 203
Palmdale, CA 93550-4745

Phone

(661) 272-9181

Fax

(661) 272-8932

NPI assigned

Apr 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeffrey a. Sulitzer, DMD, Inc

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1437204070
  NPD (past) Authorized official
• D S Park Dental Corp

  • Dentist
  • Palmdale, CA
  • NPI 1275950818

  General Practice

  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1558652396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD STE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-272-9181",
            "fax_number": "661-272-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD STE 203",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "661-272-9181",
            "fax_number": "661-272-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULITZER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "18391",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOLDEN WEST",
            "identifier": "F2989",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY DENTAL",
            "identifier": "004802",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "556327",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9303001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1625795",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA HEALTHY FAMILIES",
            "identifier": "G98402-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD",
            "identifier": "8108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION",
            "identifier": "13059",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED DENTAL CARE",
            "identifier": "5169",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Andrea Studesville
• Jamie Stuth, SLP
• Andrew Su
• Ambere Marie Suarez
• Susie Suh, DDS
• Summit Medical Group
• Summit Medical Partners
• Ma Therese Sunga Sunga
• Shirley Surrao, NP
• Jackline Shinyonya Sutherland, NP

• General Practice Dentistry in Palmdale, CA
• Providers in Palmdale, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.