MEDICARE: DR. JAMES SPITLER M.D.

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	207L00000X	Anesthesiology Physician	G53654	CA
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	G53654	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487630109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES SPITLER M.D.

Provider Business Mailing Address
First Line	:	1509 SEABRIGHT AVE STE B2
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2555
Country	:	US
Telephone Number	:	831-800-1313
Fax Number	:	831-385-5940

Provider Business Practice Location Address
First Line	:	1509 SEABRIGHT AVE STE B2
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95062-2555
Country	:	US
Telephone Number	:	831-800-1313
Fax Number	:	831-800-1313

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	05/02/2017

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Directions to “ DR. JAMES SPITLER M.D.” Practice Location

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