Organization Active NPI

Clayton L. Schiltz, D.O., Inc.

Doing business as Coastal Dermatology and Aesthetics

  • Dermatology Physician
  • Gilroy, CA
National Provider Identifier
1285039206
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A13538 Issued in CA
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

Updated by the provider on Nov 3, 2014

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.NPI 1003135823
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150211000923 CA Part B Supplier - Clinic/Group Practice 9830414069 Receives reassigned benefits from 1 practitioner
Practice locations: Gilroy, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2096082Coastal Dermatology and Aesthetics7888 Wren Ave Ste A110, Gilroy, CA 95020Provider-performed microscopyMay 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.