Active NPI
Clayton L. Schiltz, D.O., Inc.
Doing business as Coastal Dermatology and Aesthetics
- Dermatology Physician
- Gilroy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20A13538
- Legal business name
- CLAYTON L. SCHILTZ, D.O., INC.
- Doing business as
- Coastal Dermatology and Aesthetics
- Practice address
- 7888 Wren Ave Ste A110
Gilroy, CA 95020-4963 - Phone
- (408) 713-2600
- NPI assigned
- Nov 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clayton L Schiltz, D.O.
- Title
- Owner
- Phone
- (619) 886-3676
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 20A13538 | CA | Primary |
Addresses
Primary practice location
7888 Wren Ave Ste A110
Gilroy, CA 95020-4963
Mailing address
337 Quebrada del Mar Rd
Marina, CA 93933-4315
Phone (619) 886-3676
Other names 1
- Coastal Dermatology and Aesthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2096082 | Coastal Dermatology and Aesthetics | Provider-performed microscopy | May 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
7888 Wren Ave
Ste A110
Gilroy, CA 95020
Phone (408) 713-2600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Gilroy, CA
- NPI 1003135823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414972800000",
"number": "1285039206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 QUEBRADA DEL MAR RD",
"city": "MARINA",
"state": "CA",
"postal_code": "939334315",
"telephone_number": "619-886-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7888 WREN AVE STE A110",
"city": "GILROY",
"state": "CA",
"postal_code": "950204963",
"telephone_number": "408-713-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON L. SCHILTZ, D.O., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-03",
"last_updated": "2014-11-03",
"status": "A",
"authorized_official_last_name": "SCHILTZ",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-886-3676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "20A13538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Dermatology and Aesthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.