Organization Active NPI

Lee K. Schwartz, M.D., Inc.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1376569020
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G29219 Issued in CA
Legal business name
LEE K. SCHWARTZ, M.D., INC.
Practice address
711 Van Ness Avenue
Suite 310
San Francisco, CA 94102-3285
Phone
(415) 921-7555
Fax
(415) 921-1475
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Aissa Martin
Title
Office Manager
Phone
(415) 921-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G29219 CA Primary

Addresses

Primary practice location

711 Van Ness Avenue
Suite 310
San Francisco, CA 94102-3285

Mailing address

711 Van Ness Avenue
Suite 310
San Francisco, CA 94102-3285
Phone (415) 921-7555

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ30977ZOtherCAMEDICARE GROUP ID NUMBER

National Provider Directory

National Provider Directory

Locations

2233 Post St
Ste 201
San Francisco, CA 94115
Phone (415) 921-7555

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1376569020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVENUE",
            "address_2": "SUITE 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023285",
            "telephone_number": "415-921-7555",
            "fax_number": "415-921-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 VAN NESS AVENUE",
            "address_2": "SUITE 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023285",
            "telephone_number": "415-921-7555",
            "fax_number": "415-921-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE K. SCHWARTZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "AISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-921-7555"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G29219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "ZZZ30977Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.