Individual provider Active NPI

Stephen D. Schwartz, M.D.

  • Dermatology Physician
  • Santa Rosa, CA
National Provider Identifier
1326154352
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A24347 Issued in CA
Practice address
4727A Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(707) 527-0342
Fax
(707) 527-0818
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A24347 CA Primary

Addresses

Primary practice location

4727A Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

4727A Hoen Ave
Santa Rosa, CA 95405-7862
Phone (707) 527-0342

Other identifiers 1

IdentifierTypeStateIssuer
00A243470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000201 CA Practitioner - Dermatology 9537290754 Reassigns benefits to 1 organization
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1366
Skin biopsy142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A24347CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Fam Dermatology Medical Associates - a Medical Corporation Dermatology CurrentSince Sep 1, 2020 Accepting new patients

Locations

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 542-6313

4727 Hoen Ave
Ste A
Santa Rosa, CA 95405
Phone (707) 527-0342

1111 Sonoma Ave
Ste 110
Santa Rosa, CA 95405
Phone (707) 535-0838

555 S Dora St
Ukiah, CA 95482
Phone (707) 462-0581

Interoperability endpoints

  • Direct secure messaging: sschwartz@rfd.emadirect.md

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1326154352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727A HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-527-0342",
            "fax_number": "707-527-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727A HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-527-0342",
            "fax_number": "707-527-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "STEPHEN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A24347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A243470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.