IndividualActive
Adam Shults, PA-C
NPI 1093088205 · Physician Assistant · San Diego, CA
Provider details
- NPI number
- 1093088205
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA57151 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2051 Cushing Rd
San Diego, CA 92106-6173
Phone: (619) 881-9001
Approximate (ZIP-level) locationGet directions
Mailing address
2051 Cushing Rd
San Diego, CA 92106-6173
Registry dates
- Enumerated
- 2012-02-17
- Last updated
- 2019-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.