Individual provider Active NPI

John S. Schoenberger, M.D.

  • Interventional Pain Medicine Physician
  • San Carlos, CA
National Provider Identifier
1215922935
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G50821 Issued in CA
Practice address
1213 Eaton Ave Ste 5
San Carlos, CA 94070-5233
Phone
(650) 591-1183
Fax
(650) 508-1204
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G508210 CA
Interventional Pain Medicine Physician 208VP0014X G50821 CA Primary

Addresses

Primary practice location

1213 Eaton Ave Ste 5
San Carlos, CA 94070-5233

Mailing address

1213 Eaton Ave Ste 5
San Carlos, CA 94070-5233
Phone (650) 591-1183

Other identifiers 1

IdentifierTypeStateIssuer
00G508210OtherCAPIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000974 CA Practitioner - Pain ManagementPractitioner - General PracticePractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 2860448354 Practice locations: San Carlos, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G508210CAMDInternal Medicine Physician
G50821CAMDInterventional Pain Medicine Physician
50821CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1215922935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 EATON AVE STE 5",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705233",
            "telephone_number": "650-591-1183",
            "fax_number": "650-508-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 EATON AVE STE 5",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705233",
            "telephone_number": "650-591-1183",
            "fax_number": "650-508-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBERGER",
        "first_name": "JOHN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G508210",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G50821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "00G508210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.