Theodore Louis Schlater III, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G70890 Issued in CA

Practice address

126 Main St
Brawley, CA 92227-2349

Phone

(213) 503-8128

Fax

(760) 344-3301

NPI assigned

Aug 21, 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

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.

• Daniel K Cham, MD, Inc

  • Family Medicine Physician
  • Brawley, CA
  • NPI 1902839343
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790891968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272349",
            "telephone_number": "213-503-8128",
            "fax_number": "760-344-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272349",
            "telephone_number": "213-503-8128",
            "fax_number": "760-344-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLATER",
        "first_name": "THEODORE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G70890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Massey San Pedro, M.A. LMFT
• Sabrina Marie Lira Sanchez
• Brian F Sanders, D.P.T.
• Zenaida Salao Santos, PT
• SC Surgery Network, Inc.
• Jacob Matthew Scholl, PA
• Natalie Marie Serra, CRNA
• Melinda Serrano, CRNA
• Shannon J Daughtry DDS Inc
• Shelly Sharma, PHARMD

• General Practice Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.