Organization Active NPI

Matthew M. Schultzel, DO, an Osteopathic Medical Corporation

  • Surgery Physician
  • La Jolla, CA
National Provider Identifier
1720585797
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A11955 Issued in CA
Legal business name
MATTHEW M. SCHULTZEL, DO, AN OSTEOPATHIC MEDICAL CORPORATION
Practice address
9850 Genesee Ave Ste 570
La Jolla, CA 92037
Phone
(760) 635-9185
NPI assigned
Apr 6, 2018
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Matthew Mark Schultzel, DONPI 1306123229
Title
Ceo
Phone
(858) 232-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A11955 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 570
La Jolla, CA 92037

Mailing address

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone (858) 207-3117

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720585797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-207-3117",
            "fax_number": "951-698-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "760-635-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW M. SCHULTZEL, DO, AN OSTEOPATHIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SCHULTZEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-232-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A11955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.