Individual provider Active NPI

Stuart Alan Sultze, DC

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1659320729
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17542 Issued in CA
Practice address
345 H St
Bakersfield, CA 93304-2943
Phone
(661) 327-2588
Fax
(661) 327-4557
NPI assigned
May 8, 2006
Last updated
Apr 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17542 CA Primary
Chiropractor 111N00000X 4203 AZ

Addresses

Primary practice location

345 H St
Bakersfield, CA 93304-2943

Mailing address

345 H St
Bakersfield, CA 93304-2943
Phone (661) 327-2588

Other identifiers 1

IdentifierTypeStateIssuer
6485360001OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000360 CA Practitioner - Chiropractic 5799860383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17542CAMDAddiction (Substance Use Disorder) Counselor
4203AZMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Valley Health Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1659320729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042943",
            "telephone_number": "661-327-2588",
            "fax_number": "661-327-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042943",
            "telephone_number": "661-327-2588",
            "fax_number": "661-327-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTZE",
        "first_name": "STUART",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17542",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6485360001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.