Organization Active NPI

Joerg Schuller MD Professional Corporation

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1811608821
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOERG SCHULLER MD PROFESSIONAL CORPORATION
Practice address
3181 Collins Dr Ste B
Merced, CA 95348-3113
Phone
(209) 580-5767
Fax
(209) 697-6454
NPI assigned
Dec 9, 2022
Last updated
Feb 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Joerg Schuller, MDNPI 1437120508
Title
Owner
Phone
(209) 631-6576

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3181 Collins Dr Ste B
Merced, CA 95348-3113

Mailing address

3181 Collins Dr Ste B
Merced, CA 95348-3113
Phone (209) 580-5767

Other identifiers 1

IdentifierTypeStateIssuer
1437120508OtherDR. JOERG SCHULLER MD - NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230124003139 CA Part B Supplier - Clinic/Group Practice 2567833858 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

1170 W Olive Ave
Ste B
Merced, CA 95348
Phone (209) 276-2200

3181 Collins Dr
Ste B
Merced, CA 95348
Phone (209) 580-5767

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": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1811608821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483113",
            "telephone_number": "209-580-5767",
            "fax_number": "209-697-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 COLLINS DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483113",
            "telephone_number": "209-580-5767",
            "fax_number": "209-697-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOERG SCHULLER MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "SCHULLER",
        "authorized_official_first_name": "JOERG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-631-6576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JOERG SCHULLER MD - NPI",
            "identifier": "1437120508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.