NPIMap

Individual provider Active NPI

Ethan Daliere Schram, M.D.

  • Medical Oncology Physician
  • Walnut Creek, CA
National Provider Identifier
1659320703
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A100608 Issued in CA
Practice address
575 Lennon LN Ste 153
Walnut Creek, CA 94598-2443
Phone
(925) 433-8786
Fax
(925) 433-8788
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100608 CA
Hematology & Oncology Physician 207RH0003X A100608 CA
Medical Oncology Physician 207RX0202X A100608 CA Primary

Addresses

Primary practice location

575 Lennon LN Ste 153
Walnut Creek, CA 94598-2443

Mailing address

575 Lennon LN Ste 153
Walnut Creek, CA 94598-2443
Phone (925) 433-8786

Other practice location 1

10 Woodland Rd
Martin-O'Neil Cancer Center
Saint Helena, CA 94574-9554
Phone (707) 967-5721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000428 CA Practitioner - Hematology/Oncology 6406852284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of California, Davis School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Helena HospitalGroup PAC ID 8729059878, 85 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

15322 Lakeshore Dr
Clearlake, CA 95422-9815

18990 Coyote Valley Rd
Hidden Valley Lake, CA 95467-8339

6 Woodland Rd
Suite 202
Saint Helena, CA 94574-9501
Phone (707) 968-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
75.49
Promoting interoperability
94
Improvement activities
40
Cost
73.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
St. Helena Hospital CurrentSince Jul 1, 2018 Accepting new patients
St. Helena Hospital CurrentSince Jul 1, 2018 Accepting new patients
Bass Medical Group CurrentSince Nov 16, 2023 Accepting new patients
Bay Area Surgical Specialists, Inc a Medical Corporation CurrentSince Nov 16, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 2, 2013 Accepting new patients
Bass Medical Group Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 2, 2013 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

18990 Coyote Valley Rd
Ste 5
Hidden Valley Lake, CA 95467
Phone (707) 967-5721

1100 Trancas St
Ste 250
Napa, CA 94558
Phone (707) 253-1135

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

575 Lennon Ln
Ste 153
Walnut Creek, CA 94598
Phone (925) 433-8786

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

Organizations & group practices 9

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 7

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1659320703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 153",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-433-8786",
            "fax_number": "925-433-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 153",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-433-8786",
            "fax_number": "925-433-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_2": "Martin-O'Neil Cancer Center",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-967-5721",
            "fax_number": "707-967-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "ETHAN",
        "middle_name": "DALIERE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100608",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A100608",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A100608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.