Organization Active NPI

Elliott a. Schaffzin, M.D. Inc.

  • Specialist
  • Fresno, CA
National Provider Identifier
1134433253
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G33746 Issued in CA
Legal business name
ELLIOTT A. SCHAFFZIN, M.D. INC.
Practice address
8221 N Fresno St
Fresno, CA 93720-2041
Phone
(800) 242-0880
Fax
(559) 492-5635
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Ms. Nichelle Christine Vasquez
Title
Office Manager
Phone
(805) 381-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G33746 CA Primary

Addresses

Primary practice location

8221 N Fresno St
Fresno, CA 93720-2041

Mailing address

2176 Highgate Rd
Westlake Village, CA 91361-3523
Phone (805) 657-5567

Other practice location 1

2176 Highgate Rd
Westlake Village, CA 91361-3523
Phone (805) 657-5567

Other identifiers 3

IdentifierTypeStateIssuer
A45665OtherCAUPIN
G33746OtherCASTATE LICENSE
G33746OtherCAMEDICARE

National Provider Directory

National Provider Directory

Locations

8221 N Fresno St
Fresno, CA 93720
Phone (800) 242-0880

1250 La Venta Dr
Ste 206
Westlake Vlg, CA 91361
Phone (805) 381-1953

Practitioners & affiliated clinicians

Practitioners 2

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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1134433253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 HIGHGATE RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613523",
            "telephone_number": "805-657-5567",
            "fax_number": "805-496-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202041",
            "telephone_number": "800-242-0880",
            "fax_number": "559-492-5635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2176 Highgate Rd",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913613523",
            "country_code": "US",
            "telephone_number": "805-657-5567",
            "fax_number": "805-496-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELLIOTT A. SCHAFFZIN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-381-1953",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G33746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A45665",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G33746",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G33746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.