Individual provider Active NPI

Stanton Schiffer, M.D.

  • Neurological Surgery Physician
  • Fremont, CA
National Provider Identifier
1497848204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G16024 Issued in CA
Practice address
3868 Mowry Ave
Fremont, CA 94538-1430
Phone
(510) 792-2911
Fax
(510) 794-7924
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G16024 CA Primary

Addresses

Primary practice location

3868 Mowry Ave
Fremont, CA 94538-1430

Mailing address

3868 Mowry Ave
Fremont, CA 94538-1430
Phone (510) 792-2911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16024CAMDNeurological Surgery Physician
16024CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Neurosurgical Medical Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497848204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381430",
            "telephone_number": "510-792-2911",
            "fax_number": "510-794-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381430",
            "telephone_number": "510-792-2911",
            "fax_number": "510-794-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFFER",
        "first_name": "STANTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G16024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.