Individual provider Active NPI

Samuel Schwartz, MD

  • Vascular Surgery Physician
  • Colton, CA
National Provider Identifier
1255563334
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A116141 Issued in CA
Practice address
400 N Pepper Ave Ste 308
Colton, CA 92324-1819
Phone
(909) 580-3353
NPI assigned
Aug 21, 2009
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A116141 CA
Vascular Surgery Physician 2086S0129X A116141 CA Primary

Addresses

Primary practice location

400 N Pepper Ave Ste 308
Colton, CA 92324-1819

Mailing address

400 N Pepper Ave Ste 308
Colton, CA 92324-1819
Phone (909) 580-3353

Other practice location 1

1281 W C St Ste 150
Colton, CA 92324-1916
Phone (909) 679-2710

Other practice location 2

1281 W C St Ste 100
Colton, CA 92324-1916
Phone (909) 679-2710

Other practice location 3

1281 W C St Ste 350
Colton, CA 92324-1916
Phone (909) 679-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120822000105 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7416104757 Reassigns benefits to 1 organization
I20170809003841 MA Practitioner - Vascular SurgeryPractitioner - General Surgery 7416104757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of California, Geffen School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Leg revascularization (restoring blood flow)35
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116141CAMDMarriage & Family Therapist
18696MAMDGeneral Practice Dentistry
A116141CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 1, 2017 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Surgery CurrentSince Jan 3, 2021 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Cal Med Vascular ASC LLC PastSince Apr 10, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Cal Med ASC LLC PastSince Jan 15, 2021 Accepting new patients
Cal Med Endoscopy Center LLC Past Accepting new patients

Locations

1281 W C St
Ste 200
Colton, CA 92324
Phone (909) 679-2701

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

400 N Pepper Ave
Ste 208
Colton, CA 92324

400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1255563334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE STE 308",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241819",
            "telephone_number": "909-580-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE STE 308",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241819",
            "telephone_number": "909-580-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1281 W C St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241916",
            "country_code": "US",
            "telephone_number": "909-679-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1281 W C St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241916",
            "country_code": "US",
            "telephone_number": "909-679-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1281 W C St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241916",
            "country_code": "US",
            "telephone_number": "909-679-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A116141",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A116141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.