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LUCAS SHANHOLTZER MD
NPI 1790165025
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4918 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2021, Sep 15, 2019 (2 updates tracked since 2019).

About Lucas Shanholtzer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCAS SHANHOLTZER MD (NPI 1790165025) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790165025
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUCAS SHANHOLTZERCredential: MD
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address3501 Stockdale HwyBakersfield, CA 93309-2150 · (661) 378-2800
Phone(909) 558-4918
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 2, 2015
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
✔ NPI 1790165025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11234 ANDERSON ST, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lucas Shanholtzer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032440425
PECOS Enrollment IDI20191016002183
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucas Shanholtzer's NPI number?

The NPI number for Lucas Shanholtzer is 1790165025. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Lucas Shanholtzer located?

Lucas Shanholtzer practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4918.

What is Lucas Shanholtzer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lucas Shanholtzer enrolled in Medicare?

Yes. Lucas Shanholtzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lucas Shanholtzer was last updated on December 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.