Individual provider Active NPI

Bethann Schaber, M.D.

  • Forensic Pathology Physician
  • San Diego, CA
National Provider Identifier
1720315971
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
A063181 Issued in CA
Practice address
5555 Overland Ave
San Diego Co Medical Examiners, Ste. 1411
San Diego, CA 92123-1200
Phone
(858) 694-2904
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X A063181 CA Primary

Addresses

Primary practice location

5555 Overland Ave
San Diego Co Medical Examiners, Ste. 1411
San Diego, CA 92123-1200

Mailing address

5555 Overland Ave
San Diego Co Medical Examiners, Ste. 1411
San Diego, CA 92123-1200
Phone (858) 694-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A063181CAMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1720315971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 OVERLAND AVE",
            "address_2": "SAN DIEGO CO MEDICAL EXAMINERS, STE. 1411",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231200",
            "telephone_number": "858-694-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 OVERLAND AVE",
            "address_2": "SAN DIEGO CO MEDICAL EXAMINERS, STE. 1411",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231200",
            "telephone_number": "858-694-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABER",
        "first_name": "BETHANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A063181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.