Organization Active NPI

Temecula Medical Corporation

  • Urgent Care Clinic/Center
  • Temecula, CA
National Provider Identifier
1922333723
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
A75306 Issued in CA
Legal business name
TEMECULA MEDICAL CORPORATION
Practice address
41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808
Phone
(951) 308-4451
Fax
(951) 506-0992
NPI assigned
Oct 12, 2009
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Steven J Schutz, PANPI 1376727925
Title
President
Phone
(951) 308-4451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G80692 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G80692 CA
Urgent Care Clinic/Center 261QU0200X A75306 CA Primary
Medical Physician Assistant 363AM0700X PA16522 CA

Addresses

Primary practice location

41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808

Mailing address

41715 Winchester Rd
Suite 101
Temecula, CA 92590-4808
Phone (951) 308-4451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000537 CA Part B Supplier - Clinic/Group Practice 8022394071 Receives reassigned benefits from 14 practitioners
Practice locations: San Marcos, CA; Temecula, CA

National Provider Directory

National Provider Directory

Locations

41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1922333723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904808",
            "telephone_number": "951-308-4451",
            "fax_number": "951-506-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904808",
            "telephone_number": "951-308-4451",
            "fax_number": "951-506-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "SCHUTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-308-4451",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G80692",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G80692",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A75306",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.