Individual provider Active NPI

Gary S Schneider, D.O.

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1346265782
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4198 Issued in CA
Practice address
4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134
Phone
(818) 905-9586
Fax
(818) 905-0130
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4198 CA Primary

Addresses

Primary practice location

4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134

Mailing address

4835 Van Nuys Blvd Ste 109
Sherman Oaks, CA 91403-2134
Phone (818) 905-9586

Other identifiers 1

IdentifierTypeStateIssuer
00AX41980MedicaidCA

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
I20101103001323 CA Practitioner - Family Practice 1254525256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4835 Van Nuys Blvd
Suite 109
Sherman Oaks, CA 91403-2134
Phone (818) 905-9586

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Schneider D O Inc Family Medicine CurrentSince Jul 6, 2010 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

4835 Van Nuys Blvd
Ste 109
Sherman Oaks, CA 91403
Phone (818) 784-3615

4849 Van Nuys Blvd
Ste 105
Van Nuys, CA 91403
Phone (818) 784-3615

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1346265782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032134",
            "telephone_number": "818-905-9586",
            "fax_number": "818-905-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD STE 109",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032134",
            "telephone_number": "818-905-9586",
            "fax_number": "818-905-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "GARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX41980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.