Individual provider Active NPI

Mark Schultzel, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1689990913
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A115034 Issued in CA
Practice address
3750 Convoy St Ste 201
San Diego, CA 92111-3770
Phone
(858) 278-8300
Fax
(858) 999-2550
NPI assigned
Apr 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A115034 CA Primary

Addresses

Primary practice location

3750 Convoy St Ste 201
San Diego, CA 92111-3770

Mailing address

400 Craven Rd
San Marcos, CA 92078-4201

Other practice location 1

400 Craven Rd
San Marcos, CA 92078-4201
Phone (619) 323-8783

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908002450 CA Practitioner - Orthopedic Surgery 2860708799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, San Diego School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)40
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115034CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Feb 18, 2020 Accepting new patients
United Medical Doctors CurrentSince Aug 17, 2022 Accepting new patients
United Medical Doctors Orthopaedic Surgery CurrentSince Aug 17, 2022 Accepting new patients
Vigilant Physicians Readers, Inc CurrentSince Oct 1, 2024 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Synergy Orthopedic Specialists, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

477 N El Camino Real
Encinitas, CA 92024
Phone (760) 479-3900

777 N El Camino Real
Encinitas, CA 92024
Phone (858) 868-7109

477 N El Camino Real
Ste C204
Encinitas, CA 92024
Phone (760) 230-2256

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

20331 Irvine Ave
Ste E2
Newport Beach, CA 92660
Phone (619) 200-4140

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mschultzel321167@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1689990913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRAVEN RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113770",
            "telephone_number": "858-278-8300",
            "fax_number": "858-999-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Craven Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920784201",
            "country_code": "US",
            "telephone_number": "619-323-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZEL",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A115034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.