Individual provider Active NPI

Richard Lee Schoenbrun, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1821016106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24124 Issued in CA
Practice address
2401 Jackson St
Suite 1
San Francisco, CA 94115-1305
Phone
(415) 435-2324
Fax
(415) 435-2906
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A24124 CA Primary

Addresses

Primary practice location

2401 Jackson St
Suite 1
San Francisco, CA 94115-1305

Mailing address

327 San Rafael Ave
Belvedere, CA 94920-2333
Phone (415) 435-2324

Other identifiers 2

IdentifierTypeStateIssuer
00A241241OtherCAPROVIDER NUMBER
00A241240OtherCAPROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A24124CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821016106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SAN RAFAEL AVE",
            "city": "BELVEDERE",
            "state": "CA",
            "postal_code": "949202333",
            "telephone_number": "415-435-2324",
            "fax_number": "415-435-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 JACKSON ST",
            "address_2": "SUITE 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151305",
            "telephone_number": "415-435-2324",
            "fax_number": "415-435-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBRUN",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A24124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00A241241",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "00A241240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • 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.