Individual provider Active NPI

Ron D Schmidt, DC

  • Chiropractor
  • Santa Cruz, CA
National Provider Identifier
1336209154
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17814 Issued in CA
Practice address
406 Mission St
Ste a
Santa Cruz, CA 95060-3748
Phone
(831) 426-0609
Fax
(831) 426-4854
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17814 CA Primary

Addresses

Primary practice location

406 Mission St
Ste a
Santa Cruz, CA 95060-3748

Mailing address

406 Mission St
Ste a
Santa Cruz, CA 95060-3748
Phone (831) 426-0609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000704 CA Practitioner - Chiropractic 0446331227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

406 Mission St
Suite a
Santa Cruz, CA 95060-3749
Phone (831) 426-0609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17814CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yousofi Chiropractic Corporation PastSince Nov 1, 2006 Accepting new patients

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1336209154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MISSION ST",
            "address_2": "STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603748",
            "telephone_number": "831-426-0609",
            "fax_number": "831-426-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MISSION ST",
            "address_2": "STE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603748",
            "telephone_number": "831-426-0609",
            "fax_number": "831-426-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "RON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.