John Lester Schaeffer, D.O.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · San Francisco, CA
NPI 1497743918 · NPPES record last updated May 4, 2020
Key facts
- NPI
- 1497743918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 20A9536 (CA)
- Practice address
- 101 California St Ste 2710
San Francisco, CA 94111-5818 - Phone
- (916) 320-4222
- Fax
- (888) 370-2829
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070606000781 | CA | Practitioner - Psychiatry | 6507964095 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9536 | CA | MD | Acupuncturist |
| 38750 | CO | MD | Child & Adolescent Psychiatry Physician |
| A-1243-03 | NM | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Humboldt | Current |
Accepting new patients | |
| County of Madera | Current |
Accepting new patients | |
| County of Humboldt | Current |
Accepting new patients | |
| County of Humboldt | Current | Accepting new patients | |
| County of Siskiyou | Current |
Accepting new patients | |
| County of Fresno | Current |
Accepting new patients | |
| County of Siskiyou | Current |
Accepting new patients | |
| County of Fresno | Current |
Accepting new patients | |
| Turning Point of Central California, Inc. | Past | Accepting new patients | |
| Dr. John L Schaeffer, Inc | Psychiatry | Past | Accepting new patients |
| Turning Point of Central California, Inc. | Past | Accepting new patients |
Locations
720 Wood St
Eureka, CA 95501
Phone (707) 268-2900
4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099
209 E 7th St
Madera, CA 93638
Phone (559) 395-0451
2060 Campus Dr
Yreka, CA 96097
Phone (530) 841-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 20A9536 | CA | |
| Geriatric Psychiatry Physician | 2084P0805X | 38750 | CO | |
| Psychiatry Physician | 2084P0800X | A-1243-03 | NM | |
| Psychiatry Physician | 2084P0800X | 38750 | CO | |
| Psychiatry Physician | 2084P0800X | 20A9536 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 38750 | CO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A-1243-03 | NM | |
| Geriatric Psychiatry Physician | 2084P0805X | A-1243-03 | NM | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20A9536 | CA | Yes |
Addresses
Primary practice location
101 California St Ste 2710
San Francisco, CA 94111-5818
Mailing address
101 California St Ste 2710
San Francisco, CA 94111-5818
Phone (916) 320-4222
Other practice location 1
1691 Q St
Firebaugh, CA 93622-2428
Phone (916) 320-4422
Other practice location 2
2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (916) 320-4422
Other practice location 3
36618 Lassen Ave
Suite A
Huron, CA 93234
Phone (559) 334-6421
Other practice location 4
1311 11th St
Reedley, CA 93654-2926
Phone (559) 638-8588
Other practice location 5
3800 McCall Ave
Selma, CA 93662-2217
Phone (559) 875-7705
Other practice location 6
681 S Madera Ave Ste 107
Kerman, CA 93630-1748
Phone (559) 842-4357
Other practice location 7
711 Barnes Ave
LA Junta, CO 81050-2138
Phone (800) 511-5446
Other practice location 8
3133 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-8918
Other practice location 9
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 600-9180
Other practice location 10
40 E Minarets Ave
Pinedale, CA 93650-1239
Phone (855) 343-1057
Other practice location 11
380 Coalinga Plz
Coalinga, CA 93210-1704
Phone (855) 343-1057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FK534Z | Medicaid | CA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://fresno2011.netsmartcloud.com/radplus/index.jsp | Direct |
Other providers in San Francisco, CA
- Caya Dawn Schaan
- Edrie Loraine Schade
- Milton P Schaefer
- Renee Nicole Schaefer
- Benjamin Adam Schaeffer
- Joerg Christoph Schaeuble
- Anne Louise Schafer
- Antje Martina Schafer
- Elise Schaffer
- Irit Schaffer
All providers in San Francisco, CA · Child & Adolescent Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.