Fred W. Schnepper, MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G7025 Issued in CA

Legal business name

FRED W. SCHNEPPER, MD, INC.

Practice address

750 Medical Center Court #8
Chula Vista, CA 91911-6634

Phone

(619) 482-2400

Fax

(619) 482-2411

NPI assigned

Aug 30, 2006

Organization subpart

Yes

Parent organization

FRED W. SCHNEPPER, MD, INC.As reported in NPPES

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

Authorized official

Name

Dr. Fred Walter Schnepper

Title

President

Phone

(619) 482-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Fred W Schnepper Mdinc

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1265542476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT STE 8",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-482-2400",
            "fax_number": "619-482-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER COURT #8",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-482-2400",
            "fax_number": "619-482-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED W. SCHNEPPER, MD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRED W. SCHNEPPER, MD, INC.",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "SCHNEPPER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-482-2400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G7025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G70250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.