Randall Jay Sulzer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

033854 Issued in CA

Practice address

7854 Golden Ave
Lemon Grove, CA 91945-1804

Phone

(619) 463-4459

Fax

(619) 463-7415

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871519256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 CURTIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061202",
            "telephone_number": "619-225-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7854 GOLDEN AVE",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451804",
            "telephone_number": "619-463-4459",
            "fax_number": "619-463-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULZER",
        "first_name": "RANDALL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "033854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Paul Stoddard, D.C.
• Pamela S Stoltz
• Christapher James Stroud, SUDRC
• Yangyang Su, PTA
• Amy Elizabeth Suarez
• Sungarden Terrace, L.P.
• Stefanie Chiyono Suzuki, SPEECH LANGUAGE PATH
• Kim Cherie Swain, IMF
• Kevin Swartzberg, D.D.S.
• Shawna Sweeney

• General Practice Dentistry in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.