Active NPI
Marc B. Schenker, M.D.
- Pulmonary Disease Physician
- Davis, CA
National Provider Identifier
1225010622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G27973
- Practice address
- 1 Shields Ave
TB 168, Dept Public Health Sciences
Davis, CA 95616-5270 - Phone
- (530) 752-5676
- NPI assigned
- Nov 19, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G27973 | CA | Primary |
| Occupational Medicine Physician | 2083X0100X | G27973 | CA |
Addresses
Primary practice location
1 Shields Ave
TB 168, Dept Public Health Sciences
Davis, CA 95616-5270
Mailing address
1018 Hacienda Ave
Davis, CA 95616-5721
Phone (530) 753-9013
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G27973 | Other | CA | STATE PROFESSIONAL LICENS |
| 00G279730 | 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 |
|---|---|---|---|
| G27973 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225010622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 HACIENDA AVE",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165721",
"telephone_number": "530-753-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"address_2": "TB 168, DEPT PUBLIC HEALTH SCIENCES",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165270",
"telephone_number": "530-752-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENKER",
"first_name": "MARC",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G27973",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "G27973",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PROFESSIONAL LICENS",
"identifier": "G27973",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G279730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.