Individual provider Active NPI

David Jay Schneiderman, MD

  • Gastroenterology Physician
  • Carmichael, CA
National Provider Identifier
1407867211
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C407820 Issued in CA
Practice address
6357 Coyle Ave
Suite a
Carmichael, CA 95608-0478
Phone
(916) 863-1000
Fax
(916) 863-1234
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C407820 CA Primary

Addresses

Primary practice location

6357 Coyle Ave
Suite a
Carmichael, CA 95608-0478

Mailing address

6357 Coyle Ave
Suite a
Carmichael, CA 95608-0478
Phone (916) 863-1000

Other identifiers 1

IdentifierTypeStateIssuer
00C407820MedicaidCA

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
I20101117000688 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 1557556404 Reassigns benefits to 1 organization
Practice locations: Carmichael, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Maryland School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

1095 Marshall Way
Suite 100
Placerville, CA 95667-5722
Phone (530) 626-2920

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C407820CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center CurrentSince Aug 22, 2016 Accepting new patients
Marshall Medical Center CurrentSince Aug 22, 2016 Accepting new patients

Locations

3501 Palmer Dr
Ste 201
Cameron Park, CA 95682
Phone (530) 626-2611

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1095 Marshall Way
Ste 100
Placerville, CA 95667
Phone (530) 344-5470

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1407867211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6357 COYLE AVE",
            "address_2": "SUITE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080478",
            "telephone_number": "916-863-1000",
            "fax_number": "916-863-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6357 COYLE AVE",
            "address_2": "SUITE A",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080478",
            "telephone_number": "916-863-1000",
            "fax_number": "916-863-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDERMAN",
        "first_name": "DAVID",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C407820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C407820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.