MEDICARE: DR. JOERG SCHULLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A60661	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	080181578	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ77315Z	OTHER	CA	MEDI-CAL CALIFORNIA

General Provider Information

NPI Number	:	1437120508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOERG SCHULLER MD

Provider Business Mailing Address
First Line	:	3181 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3113
Country	:	US
Telephone Number	:	209-580-5767
Fax Number	:	209-697-6454

Provider Business Practice Location Address
First Line	:	3181 COLLINS DR STE B
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95348-3113
Country	:	US
Telephone Number	:	209-580-5767
Fax Number	:	209-697-6454

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/14/2025

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Practice Location Address:

3181 COLLINS DR STE B
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1750231189 — SIMRANJEET KAUR
Practice Location Address:

3335 M ST
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Practice Location Address:

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Directions to “ DR. JOERG SCHULLER MD” Practice Location

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