NPIMap

Individual provider Active NPI

Michael S Schorr, M.D.

  • General Practice Physician
  • Patterson, CA
National Provider Identifier
1508922089
Registry record updated Mar 13, 2015
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G44829 Issued in CA
Practice address
101 N 3Rd St
Patterson, CA 95363-2501
Phone
(209) 892-1400
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G44829 CA
General Practice Physician 208D00000X G44829 CA Primary

Addresses

Primary practice location

101 N 3Rd St
Patterson, CA 95363-2501

Mailing address

101 N 3Rd St
Patterson, CA 95363-2501
Phone (209) 892-1400

Other identifiers 1

IdentifierTypeStateIssuer
G44829OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000616 CA Practitioner - Family Practice 0840245957 Practice locations: Patterson, CA
O20170109001378 CA Part A Provider - Rural Health Clinic 2062793946 Practice locations: Patterson, CA

Rural health clinic certification: CCN 058993

Legal name
MICHAEL SCHORR
Doing business as
PATTERSON 1ST CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 20, 2017
Last certification
Oct 2, 2023
Ownership / control type
1A
Organization structure
Sole ProprietorProprietary
Enrollment address
101 N 3Rd St
Patterson, CA 95363-2501

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Nursing Practitioners, Inc.Group PAC ID 7911902853, 2 clinicians

Practice addresses (Care Compare)

190 S Oak Ave
Oakdale, CA 95361-3528

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G44829CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Patterson 1St Care Clinic PastSince Jan 1, 1990 Accepting new patients
Pathways Nursing Practitioners, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mschorr9804@hisp.ehr.sutterhealth.org

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael S Schorr Individual 5% Or Greater Direct Ownership Interest May 2, 2002
Sabrina Quiroz Individual Operational/Managerial ControlOffice Manager Oct 1, 2010

Organizations & group practices 4

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 3

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1508922089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632501",
            "telephone_number": "209-892-1400",
            "fax_number": "209-892-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632501",
            "telephone_number": "209-892-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G44829",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G44829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G44829",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.