Active NPI
Roman A Shulze, D.O.
- Occupational Medicine Physician
- Anaheim, CA
National Provider Identifier
1679667182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 20A8047
- Practice address
- 1717 E Lincoln Ave
Anaheim, CA 92805-4345 - Phone
- (714) 635-2642
- Fax
- (714) 635-8547
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8047 | CA | |
| Occupational Medicine Physician | 2083X0100X | 20A8047 | CA | Primary |
Addresses
Primary practice location
1717 E Lincoln Ave
Anaheim, CA 92805-4345
Mailing address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpointe Medical Group, Inc.
Practice addresses (Care Compare)
1717 E Lincoln Ave
Anaheim, CA 92805-4345
Phone (714) 635-2642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8047 | CA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients |
Locations
1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642
16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341
754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155
Organizations & group practices 2
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.
-
- Specialist
- Anaheim, CA
- NPI 1548201304
-
- Specialist
- Ontario, CA
- NPI 1740221472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679667182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "714-367-5360",
"fax_number": "714-635-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 E LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928054345",
"telephone_number": "714-635-2642",
"fax_number": "714-635-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULZE",
"first_name": "ROMAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8047",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "20A8047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.