Organization Active NPI

Schaack & Cole Medical Corporation

Doing business as California Health and Longevity Institute

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1699899179
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43132 Issued in CA
Legal business name
SCHAACK & COLE MEDICAL CORPORATION
Doing business as
California Health and Longevity Institute
Practice address
2 Dole Dr
Westlake Village, CA 91362-7300
Phone
(818) 575-8000
NPI assigned
Mar 19, 2007
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Terry M Schaack, M.D.NPI 1780728980
Title
Medical Director
Phone
(818) 575-8000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A43132 CA Primary

Addresses

Primary practice location

2 Dole Dr
Westlake Village, CA 91362-7300

Mailing address

9675 Brighton Way
Suite 290
Beverly Hills, CA 90210-5100
Phone (310) 550-8543

Other names 1

  • California Health and Longevity Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240309000248 CA Part B Supplier - Clinic/Group Practice 5890131148 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9675 Brighton Way
Ste 290
Beverly Hills, CA 90210
Phone (310) 550-8543

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1699899179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "SUITE 290",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-550-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOLE DR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913627300",
            "telephone_number": "818-575-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAACK & COLE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "SCHAACK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-575-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Health and Longevity Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.