Organization Active NPI

Stanley H Schwartz MD, Inc

  • Internal Medicine Physician
  • Moreno Valley, CA
National Provider Identifier
1548494149
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STANLEY H SCHWARTZ MD, INC
Practice address
12980 Frederick St Ste I
Moreno Valley, CA 92553-5263
Phone
(951) 243-6838
Fax
(951) 769-7195
NPI assigned
May 11, 2009
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Stanley H Schwartz, M.DNPI 1922067081
Title
Physician
Phone
(951) 769-7191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X A42271 CA

Addresses

Primary practice location

12980 Frederick St Ste I
Moreno Valley, CA 92553-5263

Mailing address

12980 Frederick St Ste I
Moreno Valley, CA 92553-5263
Phone (951) 243-6838

Other identifiers 1

IdentifierTypeStateIssuer
00A422712MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105001125 CA Part B Supplier - Clinic/Group Practice 2860687688 Receives reassigned benefits from 2 practitioners
Practice locations: Banning, CA; Moreno Valley, CA; Riverside, CA

National Provider Directory

National Provider Directory
Tax ID family
Office of Stanley Schwartz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

264 N Highland Springs Ave
Bldg 1AB
Banning, CA 92220

264 N Highland Springs Ave
Ste 1A
Banning, CA 92220
Phone (951) 269-2221

264 N Highland Springs Ave
Ste 2B
Banning, CA 92220
Phone (951) 845-1603

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1548494149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST STE I",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-243-6838",
            "fax_number": "951-769-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 FREDERICK ST STE I",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535263",
            "telephone_number": "951-243-6838",
            "fax_number": "951-769-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY H SCHWARTZ MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-769-7191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42271",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.