Organization Active NPI

Todd Schafer, DPM a PC

  • Foot & Ankle Surgery Podiatrist
  • Ontario, CA
National Provider Identifier
1821134180
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3616 Issued in CA
Legal business name
TODD SCHAFER, DPM A PC
Practice address
3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone
(909) 615-4090
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Dr. Todd Mark Schafer, DPMNPI 1831127349
Title
Owner
Phone
(760) 819-9289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3616 CA Primary

Addresses

Primary practice location

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661

Mailing address

3200 E Guasti Rd Ste 100
Ontario, CA 91761-8661
Phone (909) 615-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000317 CA Part B Supplier - Clinic/Group Practice 0446238422 Receives reassigned benefits from 1 practitioner
Practice locations: Diamond Bar, CA; Victorville, CA

National Provider Directory

National Provider Directory

Locations

309 E Mountain View St
Ste 106
Barstow, CA 92311
Phone (760) 951-1238

209 N 2nd Ave
Barstow, CA 92311
Phone (760) 256-3568

13641 Central Ave
Ste M
Chino, CA 91710
Phone (909) 627-6364

12598 Central Ave
Chino, CA 91710
Phone (909) 465-5995

1291 S Bernardo Ave
Sunnyvale, CA 94087
Phone (408) 245-8070

305 N 2nd Ave
Upland, CA 91786
Phone (909) 981-5923

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1821134180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-615-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 E GUASTI RD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618661",
            "telephone_number": "909-615-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SCHAFER, DPM A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-819-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.