Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr Michael C. Shulkin, OD

Organization Clinic/Center · NPI 1568646610

Dr Michael C. Shulkin, OD is a Clinic/Center in Santa Rosa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1188 Montgomery Dr
Santa Rosa, CA 95405-4802
Phone: (707) 542-3404
Fax: (707) 542-3404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence OPT77030TPA (CA)
Clinic/Center Taxonomy 261Q00000X · Licence OPT77030TPA (CA)

Record details

NPI number1568646610
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Shulkin — Owner · (707) 542-3404
NPI enumeratedDecember 26, 2007
Last updated in NPPESMarch 27, 2008
Mailing address1188 Montgomery Dr, Santa Rosa, CA 95405-4802

Other providers in Santa Rosa