Active NPI
Richard Lee Schoenbrun, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1821016106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A24124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A241241 | Other | CA | PROVIDER NUMBER |
| 00A241240 | Other | CA | PROVIDER 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
| License | State | Type | Specialty |
|---|---|---|---|
| A24124 | CA | MD | Psychiatry 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.