Individual provider Active NPI

Joseph Anthony Schneider Jr., MD

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1639102528
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G65121 Issued in CA
Practice address
6848 Magnolia Ave
Suite 130
Riverside, CA 92506
Phone
(951) 683-1174
Fax
(951) 682-1253
NPI assigned
Jul 7, 2006
Reactivated
Apr 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G65121 CA Primary

Addresses

Primary practice location

6848 Magnolia Ave
Suite 130
Riverside, CA 92506

Mailing address

PO Box 2370
Riverside, CA 92516
Phone (951) 683-1174

Other identifiers 1

IdentifierTypeStateIssuer
05D1009738OtherCACLIA NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215001095 CA Practitioner - Family Practice 4981656139 Practice locations: Riverside, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6848 Magnolia Ave
Suite 130
Riverside, CA 92506-2856
Phone (951) 683-1174

Hospital & facility affiliations

  • Care Essentials Home Health Home health agency, Grand Terrace, CA, CCN 557680
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a. Schneider, Jr., M.D. Inc Current Accepting new patients

Locations

6848 Magnolia Ave
Ste 130
Riverside, CA 92506
Phone (951) 683-1174

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: josephschneider@jschn.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1639102528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2370",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92516",
            "telephone_number": "951-683-1174",
            "fax_number": "951-682-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 130",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-683-1174",
            "fax_number": "951-682-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-05-01",
        "deactivation_date": "2017-04-19",
        "reactivation_date": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G65121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1009738",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.