Individual provider Active NPI

Harris David Schneider, MD

  • Emergency Medicine Physician
  • San Leandro, CA
National Provider Identifier
1639150709
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G25305 Issued in CA
Practice address
13855 E 14TH St
San Leandro, CA 94578-2611
Phone
(510) 918-4877
Fax
(510) 918-4877
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2744 MN
Emergency Medicine Physician 207P00000X 320496 NY
Emergency Medicine Physician 207P00000X G25305 CA Primary

Addresses

Primary practice location

13855 E 14TH St
San Leandro, CA 94578-2611

Mailing address

6142 Annapurna Dr
Evergreen, CO 80439-5314
Phone (510) 918-4877

Other identifiers 2

IdentifierTypeStateIssuer
00G253050MedicaidCA
00G253050OtherCABLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MN, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090824000393 CO Practitioner - Emergency Medicine 3678525854 Reassigns benefits to 1 organization
I20220324001695 MN Practitioner - Emergency Medicine 3678525854
I20230322000301 NY Practitioner - Emergency Medicine 3678525854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2744MNMDMarriage & Family Therapist
G25305CAMDEmergency Medicine Physician
320496NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Apr 3, 2023 Accepting new patients
Franciscan Medical Group PastSince Apr 3, 2023 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

Interoperability endpoints

  • Direct secure messaging: hschneider141778@hisp.ehr.sutterhealth.org
  • Direct secure messaging: harris.schneider.1@20515.direct.athenahealth.com

Organizations & group practices 3

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1639150709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6142 ANNAPURNA DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395314",
            "telephone_number": "510-918-4877",
            "fax_number": "510-918-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782611",
            "telephone_number": "510-918-4877",
            "fax_number": "510-918-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "HARRIS",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "2744",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "320496",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G25305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G253050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "00G253050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.