NPIMap

Organization Active NPI

Philip S Schauweker D.P.M. Professional Podiatric Medicine Corporation

  • Podiatric Clinic/Center
  • Long Beach, CA
National Provider Identifier
1154882678
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PHILIP S SCHAUWEKER D.P.M. PROFESSIONAL PODIATRIC MEDICINE CORPORATION
Practice address
1043 Elm Ave Ste 407
Long Beach, CA 90813-3206
Phone
(562) 491-0505
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Dr. Philip S Schauweker, DPMNPI 1801983374
Title
Owner
Phone
(562) 491-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1043 Elm Ave Ste 407
Long Beach, CA 90813-3206

Mailing address

1043 Elm Ave Ste 407
Long Beach, CA 90813-3206
Phone (562) 491-0505

Other identifiers 1

IdentifierTypeStateIssuer
000E39110MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190611003295 CA Part B Supplier - Clinic/Group Practice 0547593295 Receives reassigned benefits from 2 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

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": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1154882678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133206",
            "telephone_number": "562-491-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133206",
            "telephone_number": "562-491-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP S SCHAUWEKER D.P.M. PROFESSIONAL PODIATRIC MEDICINE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "SCHAUWEKER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-491-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.