Provider Demographics
NPI:1952414807
Name:SHULER, JAMES D (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:SHULER
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 1:5329 OFFICE CENTER CT
Mailing Address - Street 2:SUITE 125
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-7425
Mailing Address - Country:US
Mailing Address - Phone:661-869-2600
Mailing Address - Fax:
Practice Address - Street 1:5329 OFFICE CENTER CT
Practice Address - Street 2:SUITE 125
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-7425
Practice Address - Country:US
Practice Address - Phone:661-869-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61570207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOG615700Medicaid
CAE34712Medicare UPIN
CAOOG615700Medicare ID - Type Unspecified