Individual provider Active NPI

Philip Scott Schauweker, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Long Beach, CA
National Provider Identifier
1801983374
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E3911 Issued in CA
Practice address
1043 Elm Ave
Suite 407
Long Beach, CA 90813-3271
Phone
(562) 491-0505
Fax
(562) 491-0525
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Podiatrist 213ER0200X E3911 CA
Sports Medicine Podiatrist 213ES0000X E3911 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E3911 CA
Foot Surgery Podiatrist 213ES0131X E3911 CA
Primary Podiatric Medicine Podiatrist 213EP1101X E3911 CA Primary

Addresses

Primary practice location

1043 Elm Ave
Suite 407
Long Beach, CA 90813-3271

Mailing address

1043 Elm Ave
Suite 407
Long Beach, CA 90813-3271
Phone (562) 491-0505

Other identifiers 1

IdentifierTypeStateIssuer
000E39110MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001278 CA Practitioner - Podiatry 8527250661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1043 Elm Ave
Suite 407
Long Beach, CA 90813-3206
Phone (562) 491-0505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue994
Removal of nail tissue388
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3911CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Philip S Schauweker D.P.M. Professional Podiatric Medicine Corporation CurrentSince Feb 21, 2019 Accepting new patients
Philip S Schauweker PastSince Jun 1, 2002 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1043 Elm Ave
Ste 407
Long Beach, CA 90813
Phone (562) 421-7199

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1801983374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "SUITE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-491-0505",
            "fax_number": "562-491-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "SUITE 407",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-491-0505",
            "fax_number": "562-491-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUWEKER",
        "first_name": "PHILIP",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E3911",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3911",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3911",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3911",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.