DEREK SCHULTZ (NPI# 1609300573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609300573 |
| Entity Type | Individual |
| Full Name | DEREK SCHULTZ |
| Practice Address |
31700 Temecula Pkwy Ste 2 Temecula CA 92592 |
| Mailing Address |
31700 Temecula Pkwy Ste 2 Temecula CA 92592-5896 |
| Practice Telephone | 9516004337 |
| Mailing Telephone | 9516004337 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3750 Sw River Pkwy, Apt 357, Portland, OR 972394743 | 3202503845 |
| Street Address |
31700 TEMECULA PKWY STE 2 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023438322 | Sean Anand | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2014-04-24 |
| 1326668732 | Haroun Mohammed | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-26 |
| 1679193916 | Andrew Yongho Kim | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-16 |
| 1285253237 | Sina Bakhshaei Shahrbabaki | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-10 |
| 1285253260 | Kylie Jordan Harte | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-10 |
| 1639708126 | Corinne Verghese | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-06 |
| 1841829793 | Harrison Chen | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-03 |
| 1407485295 | Waqqas Shahid Mirza | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-03 |
| 1942838222 | Bland Ahmed | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-03-31 |
| 1982232518 | Habib Rahban | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
| 1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
| 1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
| 1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
| Find all providers in zip 92592 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
| 1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
| 1083242499 | Caitlyn Klan | Student in an Organized Health Care Education/Training Program | 45339 Maguey Ct, Temecula, CA 92592-6025 | 2020-03-31 |
| 1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
| 1023438322 | Sean Anand | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2014-04-24 |
| 1952922015 | Mohammad Bassam Alasker | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2020-04-29 |
| 1326668732 | Haroun Mohammed | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-26 |
| 1679193916 | Andrew Yongho Kim | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-16 |
| 1285253237 | Sina Bakhshaei Shahrbabaki | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-10 |
| 1285253260 | Kylie Jordan Harte | Student in an Organized Health Care Education/Training Program | 31700 Temecula Pkwy Ste 2, Temecula, CA 92592-5896 | 2020-04-10 |
| Find all providers in TEMECULA | ||||
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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.