Individual provider Active NPI

Gerald R Schultz, MD

  • Ophthalmology Physician
  • Yucca Valley, CA
National Provider Identifier
1942293543
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G14295 Issued in CA
Practice address
58471 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-5818
Phone
(760) 228-1766
Fax
(760) 228-9830
NPI assigned
Aug 30, 2005
Reactivated
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G14295 CA Primary

Addresses

Primary practice location

58471 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-5818

Mailing address

58471 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-5818
Phone (760) 228-1766

Other identifiers 1

IdentifierTypeStateIssuer
00G142951MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070425000351 CA Practitioner - Ophthalmology 1951406628 Reassigns benefits to 3 organizations
Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates CorporationGroup PAC ID 8022196518, 8 clinicians

Practice addresses (Care Compare)

Rancho Mirage, CA 92270
Phone (760) 668-5998

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

36695 Los Alamos Rd
Rancho Mirage, CA 92270-1943

58471 29 Palms Hwy
Suite 203
Yucca Valley, CA 92284-5818
Phone (760) 853-3005

81893 Doctor Carreon Blvd
Suite 2
Indio, CA 92201-5592
Phone (760) 342-9991

9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Phone (661) 663-8500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G14295CAMDOphthalmology Physician
14295CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Jul 1, 2007 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Mar 1, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 13, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Renaissance ASC, LLC Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

81893 Doctor Carreon Blvd
Ste 2
Indio, CA 92201
Phone (760) 342-9991

47474 Washington St
La Quinta, CA 92253
Phone (760) 469-5213

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

44139 Monterey Ave
Palm Desert, CA 92260
Phone (909) 825-3425

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

58471 29 Palms Hwy
Ste 302
Yucca Valley, CA 92284
Phone (760) 228-1766

58471 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1766

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gerald.shultz.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1942293543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY",
            "address_2": "SUITE 302",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-228-1766",
            "fax_number": "760-228-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY",
            "address_2": "SUITE 302",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-228-1766",
            "fax_number": "760-228-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "GERALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-10-14",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G14295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G142951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.