DOERTLIS KUSCHEL SCHULTZE-ALLEN (NPI# 1386956969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386956969 |
| Entity Type | Individual |
| Full Name | DOERTLIS KUSCHEL SCHULTZE-ALLEN |
| Credential | M.D. |
| Practice Address |
320 Lennon Ln Walnut Creek CA 94598-2419 |
| Practice Telephone | 9259062574 |
| Practice Fax Number | 9259062531 |
| Mailing Telephone | 9259062574 |
| Mailing Fax Number | 9259062531 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A117425 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
320 LENNON LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881661 | Ethan Matthew Kutzscher | Ophthalmology | 320 Lennon Ln, Walnut Creek, CA 94598 | 2005-06-16 |
| 1487141974 | Siobhan Mark | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2018-04-19 |
| 1649701202 | Margaret Rubio | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1427589084 | Belinda Danielson | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1750812301 | Michael Sharp | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1336670298 | Zhuo Li | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-22 |
| 1093269573 | Sean Anthony Robinson | Physical Therapist | 320 Lennon Ln, Shasta Bldg #4, Walnut Creek, CA 94598-2410 | 2016-08-12 |
| 1003294794 | Linda Marie Heckenlively | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2015-05-13 |
| 1215282207 | Lakshmi Sowjanya Mallela | Internal Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2012-07-17 |
| 1942576384 | David Chien-yuan Kung | Optometrist | 320 Lennon Ln, Optometry, Walnut Creek, CA 94598-2419 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497977102 | Chanatip Suksang | Family Medicine | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2007-05-03 |
| 1437277282 | Mary Lucille Boegel | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2007-03-27 |
| 1578521928 | Ritu Singhal | Family Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2006-05-03 |
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| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.