Individual provider Active NPI

Suzanne E Schawlb, D.O

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1790778504
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8487 Issued in CA
Practice address
303 Loma Dr
Los Angeles, CA 90017-1103
Phone
(213) 201-5800
Fax
(323) 201-5840
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8487 CA Primary
Family Medicine Physician 207Q00000X 5560 AK

Addresses

Primary practice location

303 Loma Dr
Los Angeles, CA 90017-1103

Mailing address

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000903 CA Practitioner - Family Practice 3274599956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4837 Huntington Dr N
Los Angeles, CA 90032-1981
Phone (323) 225-0024

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5560AKMDFamily Medicine Physician
20A8487CAMDFamily Medicine Physician
8487CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince Dec 31, 2009 Accepting new patients
Arroyo Vista Family Health Foundation CurrentSince Dec 31, 2009 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

4837 Huntington Dr N
Ste 1
Los Angeles, CA 90032
Phone (323) 225-0024

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: suzanne.schawlb.p1@direct.arroyovista.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1790778504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424232",
            "telephone_number": "323-254-5221",
            "fax_number": "323-254-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LOMA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171103",
            "telephone_number": "213-201-5800",
            "fax_number": "323-201-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAWLB",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8487",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.