Organization Active NPI

Gary Schneider D O Inc

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1003125808
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4198 Issued in CA
Legal business name
GARY SCHNEIDER D O INC
Practice address
4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134
Phone
(818) 905-9586
Fax
(818) 905-0130
NPI assigned
Sep 28, 2010
Organization subpart
Yes
Parent organization
GARY SCHNEIDER D O INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna McCandless
Title
Office Manager
Phone
(818) 905-9586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A4198 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134

Mailing address

4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134
Phone (818) 905-9586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103001259 CA Part B Supplier - Clinic/Group Practice 7012101017 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory
Part of
Gary Schneider D O Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1003125808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032134",
            "telephone_number": "818-905-9586",
            "fax_number": "818-905-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032134",
            "telephone_number": "818-905-9586",
            "fax_number": "818-905-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SCHNEIDER D O INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY SCHNEIDER D O INC",
        "enumeration_date": "2010-09-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MCCANDLESS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-905-9586"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.