Individual provider Active NPI

John Mathew Schweifler, M.D.

  • Internal Medicine Physician
  • Lakeport, CA
National Provider Identifier
1407871627
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00A362460 Issued in CA
Practice address
5150 Hill Rd E Ste B
Lakeport, CA 95453-5100
Phone
(707) 263-7082
NPI assigned
Jul 12, 2006
Last updated
Jan 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A362460 CA Primary

Addresses

Primary practice location

5150 Hill Rd E Ste B
Lakeport, CA 95453-5100

Mailing address

5150 Hill Rd E Ste B
Lakeport, CA 95453-5100
Phone (707) 263-7082

Other identifiers 1

IdentifierTypeStateIssuer
00A362460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A362460CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: john.schweifler.1@3174.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1407871627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E STE B",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E STE B",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEIFLER",
        "first_name": "JOHN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A362460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A362460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.