Provider Demographics
NPI:1740213271
Name:SCHUSTER, CALVIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:L
Last Name:SCHUSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:KINGSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:93631-3035
Mailing Address - Country:US
Mailing Address - Phone:559-638-1496
Mailing Address - Fax:559-638-1537
Practice Address - Street 1:346 W CAROB AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2107
Practice Address - Country:US
Practice Address - Phone:559-638-1496
Practice Address - Fax:559-638-1537
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35087208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC48373Medicare UPIN
CA00G350870Medicare ID - Type Unspecified