NPIMap

Organization Active NPI

R. Andrew Schultz-Ross, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Fairfield, CA
National Provider Identifier
1770798282
Registry record updated Apr 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD7875 Issued in HI
Legal business name
R. ANDREW SCHULTZ-ROSS, M.D., INC.
Practice address
4315 Cereda LN
Fairfield, CA 94534-1561
Phone
(808) 936-2899
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2011

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

Authorized official

Name
Dr. Roy Andrew Schultz-Ross, M.D.NPI 1467634170
Title
President
Phone
(808) 936-2899

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
Medical Specialty Clinic/Center 261QM2500X MD7875 HI Primary

Addresses

Primary practice location

4315 Cereda LN
Fairfield, CA 94534-1561

Mailing address

PO Box 1918
Travis Afb, CA 94535-0918
Phone (808) 936-2899

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302393600000",
    "number": "1770798282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1918",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945350918",
            "telephone_number": "808-936-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 CEREDA LN",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341561",
            "telephone_number": "808-936-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. ANDREW SCHULTZ-ROSS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ-ROSS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-936-2899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "MD7875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2011; 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.