Edward Schneider, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G20679 Issued in CA

Practice address

1017 W Lincoln Rd
Stockton, CA 95207-2515

Phone

(209) 951-3945

Fax

(209) 954-9205

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1215919014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072515",
            "telephone_number": "209-951-3945",
            "fax_number": "209-954-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 W LINCOLN RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072515",
            "telephone_number": "209-951-3945",
            "fax_number": "209-954-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G206790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George A Schilling, M.D.
• Kasey Jean Schindler, RBT
• Christopher Daniel Schlenger, D.C.
• Katarzyna Kurowska Schmidt
• Brianna Schnaubelt
• Julia Schneider
• Ryan Jon Schoneboom
• Diane Maxine Schopp, SUDCC II
• Hayley Schreiber
• Maureen Dalman Schroeder, LEP

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.