Evan Schlusselberg

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

545 Laurel St
San Diego, CA 92101-1634

Phone

(619) 233-4399

Fax

(619) 233-0453

NPI assigned

Mar 12, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1225251812
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700
  NPD (past)

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1649928326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011634",
            "telephone_number": "619-233-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011634",
            "telephone_number": "619-233-4399",
            "fax_number": "619-233-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 N Grape St",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253079",
            "country_code": "US",
            "telephone_number": "760-975-9939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLUSSELBERG",
        "first_name": "EVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Brent Schlotfeldt II, M.D.
• Shannon Schlotman, O.T.
• Anna Schlueter
• Michelle Schlueter, PHARMD
• Crystal Schlunegger
• Claire G Schmalz
• Nora Schmeck
• Maureen K Schmersal, M.D.
• Christopher Nikolaus Schmickl, M.D., M.P.H.
• Albert J. Schmid Jr., M.D.

• Rehabilitation Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.