Organization Active NPI

John Schofield, D.O. Inc

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1770632622
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A8336 Issued in CA
Legal business name
JOHN SCHOFIELD, D.O. INC
Practice address
2222 Santa Monica Blvd Ste 302
Santa Monica, CA 90404
Phone
(310) 205-5400
Fax
(310) 205-5562
NPI assigned
Jan 9, 2007
Last updated
Nov 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Dr. John Kelly Schofield, D.O.NPI 1205811023
Title
Ceo
Phone
(310) 205-5400

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 20A8336 CA Primary

Addresses

Primary practice location

2222 Santa Monica Blvd Ste 302
Santa Monica, CA 90404

Mailing address

2222 Santa Monica Blvd Ste 302
Santa Monica, CA 90404-2307
Phone (310) 205-5400

Other practice location 1

433 N Camden Dr
Suite 1100
Beverly Hills, CA 90210-4409
Phone (310) 205-5400

Other practice location 2

433 N Camden Dr
Suite 1100
Beverly Hills, CA 90210-4409
Phone (310) 205-5400

Other identifiers 1

IdentifierTypeStateIssuer
00AX83360MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050902000332 CA Part B Supplier - Clinic/Group Practice 8325070089 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA; Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

433 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 205-5400

42543 8th St W
Ste F
Lancaster, CA 93534
Phone (310) 205-5400

74075 El Paseo
Ste A7
Palm Desert, CA 92260
Phone (760) 773-5050

40055 Bob Hope Dr
Ste J1
Rancho Mirage, CA 92270
Phone (760) 320-2133

2222 Santa Monica Blvd
Ste 302
Santa Monica, CA 90404
Phone (310) 205-5400

Practitioners & affiliated clinicians

Practitioners 1

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1770632622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042307",
            "telephone_number": "310-205-5400",
            "fax_number": "310-205-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD STE 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-205-5400",
            "fax_number": "310-205-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Camden Dr",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104409",
            "country_code": "US",
            "telephone_number": "310-205-5400",
            "fax_number": "310-205-5562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Camden Dr",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104409",
            "country_code": "US",
            "telephone_number": "310-205-5400",
            "fax_number": "310-205-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN SCHOFIELD, D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "SCHOFIELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-205-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A8336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX83360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.