ADAM MICHAEL SHULTS (NPI# 1093088205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093088205 |
| Entity Type | Individual |
| Full Name | ADAM MICHAEL SHULTS |
| Credential | PA-C |
| Practice Address |
2051 Cushing Rd San Diego CA 92106-6173 |
| Practice Telephone | 6198819001 |
| Mailing Telephone | 6198819001 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57151 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2051 CUSHING RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052170 | Sung Wook Song | Family Medicine | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2005-11-29 |
| 1154810182 | Jermaine Sarmiento Zosa | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2018-05-04 |
| 1699289462 | Teresita Salve Thompson | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-30 |
| 1962916841 | Logan Timothy Peterschmidt | Military Health Care Provider | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-29 |
| 1134461569 | Camille Angela Robinson | Pediatrics | 2051 Cushing Rd, San Diego, CA 92106 | 2013-03-24 |
| 1023356110 | Navy Medical Center San Diego | Military Hospital | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2013-01-23 |
| 1205174752 | Celso Villanueva Cayanan | Military Health Care Provider | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2013-01-17 |
| 1477816213 | Nhu Quynh Do | Podiatrist | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2012-06-18 |
| 1093091605 | Marveluz Abad Verceles | Contractor | 2051 Cushing Rd, Naval Branch Health Clinic, Ntc, San Diego, CA 92106-6173 | 2011-10-26 |
| 1063792083 | Vanessa Wright | Nurse Practitioner | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2011-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
| Find all providers in zip 92106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| 1639776503 | Nathan Tuan Dinh | Physician Assistant | 8296 Via Escalada, San Diego, CA 92129-2223 | 2020-10-05 |
| 1750988671 | Denise Aquino | Physician Assistant | 7322 Mesa College Dr Apt 7, San Diego, CA 92111-4943 | 2020-10-04 |
| 1962009183 | Courtney Krysl | Physician Assistant | 14434 Corte Lampara, San Diego, CA 92129-3818 | 2020-10-01 |
| 1497369284 | Brian Carroll | Physician Assistant | 7242 Melotte St, San Diego, CA 92119-1613 | 2020-08-31 |
| 1871104067 | Satoshi Ikeda | Physician Assistant | 16198 Paseo Del Sur, San Diego, CA 92127-6155 | 2020-08-12 |
| 1760009989 | Lili Tran | Physician Assistant | 8865 Calle Tragar, San Diego, CA 92129-2156 | 2020-07-03 |
| 1245857259 | Kendra Roberta Witt | Physician Assistant | 11396 Poblado Rd, San Diego, CA 92127-1351 | 2020-06-25 |
| 1336766344 | Brandon Scott Johnson | Physician Assistant | 1540 Oliver Ave Apt C, San Diego, CA 92109-5595 | 2020-06-25 |
| 1104441021 | Kira Ann Tellache | Physician Assistant | 4520 Executive Dr Ste 325, San Diego, CA 92121-3087 | 2020-06-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.