Active NPI
David Howard Schmidt, M.D.
- Diagnostic Radiology Physician
- Santa Rosa, CA
National Provider Identifier
1114017571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G62406
- Practice address
- 121 Sotoyome St
Santa Rosa, CA 95405-4823 - Phone
- (707) 546-4062
- Fax
- (707) 578-6258
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | G62406 | CA | |
| Nuclear Radiology Physician | 2085N0904X | G62406 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | G62406 | CA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | G62406 | CA |
Addresses
Primary practice location
121 Sotoyome St
Santa Rosa, CA 95405-4823
Mailing address
PO Box 5651
Orange, CA 92863-5651
Phone (714) 571-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G624060 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G62406 | CA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Inc P S | Diagnostic Radiology | Past | Accepting new patients |
| Redwood Regional Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Redwood Regional Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Santa Rosa, CA
- NPI 1588743264
-
- Hematology & Oncology Physician
- Santa Rosa, CA
- NPI 1275556607
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1932196607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1114017571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5651",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635651",
"telephone_number": "714-571-5000",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054823",
"telephone_number": "707-546-4062",
"fax_number": "707-578-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "DAVID",
"middle_name": "HOWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "G62406",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "G62406",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G62406",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "G62406",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G624060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.