Frederick W. Schwertley - Medical Corp.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

C24063 Issued in CA

Legal business name

FREDERICK W. SCHWERTLEY - MEDICAL CORP.

Practice address

10373 Torre Ave
Suite G
Cupertino, CA 95014-3260

Phone

(408) 996-1511

Fax

(408) 996-7349

NPI assigned

Apr 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Fred W Schwertley, M.D.

Title

President

Phone

(408) 996-1511

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1467778498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 TORRE AVE",
            "address_2": "SUITE G",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143260",
            "telephone_number": "408-996-1511",
            "fax_number": "408-996-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 TORRE AVE",
            "address_2": "SUITE G",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143260",
            "telephone_number": "408-996-1511",
            "fax_number": "408-996-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK W. SCHWERTLEY - MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "SCHWERTLEY",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-996-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "C24063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C24063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.