Matthew Schultzel DO and Douglas Sullivan PC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MATTHEW SCHULTZEL DO AND DOUGLAS SULLIVAN PC

Practice address

477 N El Camino Real Ste A308
Encinitas, CA 92024-1350

Phone

(626) 319-0712

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Douglas Sullivan

Title

Secretary

Phone

(626) 319-0712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eugene C Rajaratnam, M.D.

  • Urology Physician
  • Palmdale, CA
  • NPI 1386739027
  Medicare reassignment
• Matthew Mark Schultzel, D.O.

  • Surgery Physician
  • La Jolla, CA
  • NPI 1306123229
  Medicare reassignment
• Jose Luis Sebastian

  • Health Information Specialist/Technologist
  • Long Beach, CA
  • NPI 1851521553
  NPD

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1639723760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 ENCINITAS BLVD STE 200",
            "address_2": "ATTN: DOUGLAS SULLIVAN",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE A308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241350",
            "telephone_number": "626-319-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SCHULTZEL DO AND DOUGLAS SULLIVAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-319-0712"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matru-Sparsh Acupuncture Heath and Wellness Clinic Inc
• Judith Matson, PH.D.
• Matthew D Cooper a Professional Corporation
• Matthew Daniel, D.P.M Inc.
• Matthew Jarvinen PH.D., Inc., a Psychological Corporation
• Jaclyn Matthews
• Brittany Samantha Mattia, FNP-C
• Jack R Mawer, D.C.
• Jacqueline Marie Maxwell, DPT
• Alexis May

• Public Health or Welfare Agency in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.