Active NPI
Andrew L. Schultz, M.D.
- Pain Medicine (Anesthesiology) Physician
- Thousand Oaks, CA
National Provider Identifier
1700802402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G74727
- Practice address
- 215 W Janss Rd
Thousand Oaks, CA 91360-1847 - Phone
- (805) 370-4553
- NPI assigned
- Jul 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G74727 | CA | Primary |
Addresses
Primary practice location
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G747270 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74727 | CA | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1700802402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W JANSS RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601847",
"telephone_number": "805-370-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "ANDREW",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G74727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G747270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.