Individual provider Active NPI

Myron P. Schneider, MD

  • Diagnostic Radiology Physician
  • Lakeport, CA
National Provider Identifier
1023013125
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A25603 Issued in CA
Practice address
5176 Hill Rd E
Dept of Imaging
Lakeport, CA 95453-6300
Phone
(707) 262-5035
Fax
(707) 256-3508
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A25603 CA Primary

Addresses

Primary practice location

5176 Hill Rd E
Dept of Imaging
Lakeport, CA 95453-6300

Mailing address

PO Box 3222
Dept of Imaging
Napa, CA 94558-0293
Phone (707) 261-7822

Other identifiers 1

IdentifierTypeStateIssuer
1309851MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25603CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Imaging LLC Past Accepting new patients
Hedge Diagnostics, Inc, Apmc Diagnostic Radiology Past Accepting new patients
Delta Digital Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Orleans Orthopaedic Associates, LLC PastSince Sep 1, 2012 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Delta Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Delta MRI LLC Diagnostic Radiology Past Accepting new patients
Southwest Imaging Associates, Apmc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1023013125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3222",
            "address_2": "DEPT OF IMAGING",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945580293",
            "telephone_number": "707-261-7822",
            "fax_number": "707-256-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 HILL RD E",
            "address_2": "DEPT OF IMAGING",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954536300",
            "telephone_number": "707-262-5035",
            "fax_number": "707-256-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MYRON",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A25603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309851",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.