Individual provider Active NPI

John Fair Schmaelzle, MD

  • Urology Physician
  • Mountain View, CA
National Provider Identifier
1841467925
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A21301 Issued in CA
Practice address
2490 Hospital Dr
Suite 210
Mountain View, CA 94040-4122
Phone
(650) 962-4662
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A21301 CA Primary

Addresses

Primary practice location

2490 Hospital Dr
Suite 210
Mountain View, CA 94040-4122

Mailing address

2490 Hospital Dr
Suite 210
Mountain View, CA 94040-4122
Phone (650) 962-4662

Other identifiers 2

IdentifierTypeStateIssuer
00A213010OtherCABLUE SHIELD
00A213010OtherCAMEDI-CAL

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
A21301CAMDUrology Physician
21301CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Urology Medical Group, Inc Urology PastSince Jan 1, 1966 Accepting new patients

Organizations & group practices 1

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1841467925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404122",
            "telephone_number": "650-962-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMAELZLE",
        "first_name": "JOHN",
        "middle_name": "FAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A21301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A213010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A213010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.