Phillip Edward Schoenwetter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A030285 Issued in CA

Practice address

787 W 9TH St
San Pedro, CA 90731-3601

Phone

(310) 832-0258

Fax

(310) 833-9825

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

Practice roles

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.

• Diagnostic Imaging and Dynamics, LLC

  • Magnetic Resonance Imaging Radiologic Technologist
  • San Pedro, CA
  • NPI 1568748838
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1700958667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30511 EAST PALOS VERDES DR.",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756593",
            "telephone_number": "310-732-1999",
            "fax_number": "310-427-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313601",
            "telephone_number": "310-832-0258",
            "fax_number": "310-833-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENWETTER",
        "first_name": "PHILLIP",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A030285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Hope Sarvis
• Louise Masin Sattler, SCHOOL PSYCHOLOGIST
• Kersten Scanlon, M.A.,CCC-SLP
• Christopher David Schinke
• James A Schmidt, MD
• William Schopp, DPT
• Keith Schreier
• Schwab Chiropractic Inc.
• Tony Allen Schwab, DC
• Robin Schwarm, LMFT

• Family Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.