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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Dr. Michael C. Shulkin,Od

Primary Care Clinic/Center in Santa Rosa, CA · enumerated 2007 · authorized official Michael Shulkin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568646610

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Registry record

Entity type Organization (Type 2)
Legal business name Dr. Michael C. Shulkin,Od
Practice address 1188 Montgomery Dr, Santa Rosa, CA, 95405
Fax (707) 542-3404
Enumeration date Dec 26, 2007
Last updated in NPPES Mar 27, 2008

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License OPT77030TPA (CA) Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License OPT77030TPA (CA) Primary

Authorized official

Name Michael Shulkin
Title Owner

Other identifiers

Identifier Type State Issuer
P00365795 Other CA MEDICARE RAILROAD CARRIER
SD0077030 Medicaid CA -
ZZZ03669Z Other CA MEDICARE (INCORPORATED)

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Dr. Michael C. Shulkin,Od?
Dr. Michael C. Shulkin,Od is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-27.