Individual provider Active NPI

Stephen Kirk Schaller, M.D.

  • Ophthalmology Physician
  • Encinitas, CA
National Provider Identifier
1588856702
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G31897 Issued in CA
Practice address
2240 Encinitas Blvd
D402
Encinitas, CA 92024-4345
Phone
(619) 992-7978
Fax
(858) 756-5039
NPI assigned
Aug 11, 2007
Last updated
Aug 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G31897 CA Primary

Addresses

Primary practice location

2240 Encinitas Blvd
D402
Encinitas, CA 92024-4345

Mailing address

2240 Encinitas Blvd
D402
Encinitas, CA 92024-4345
Phone (619) 992-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G31897CAMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1588856702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 ENCINITAS BLVD",
            "address_2": "D402",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244345",
            "telephone_number": "619-992-7978",
            "fax_number": "858-756-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 ENCINITAS BLVD",
            "address_2": "D402",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244345",
            "telephone_number": "619-992-7978",
            "fax_number": "858-756-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "STEPHEN",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G31897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.