Individual provider Active NPI

Michael David Schwartz, D.O.

  • Psychiatry Physician
  • Costa Mesa, CA
National Provider Identifier
1861584708
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A7992 Issued in CA
Practice address
427 E 17TH St
#229
Costa Mesa, CA 92627-3201
Phone
(949) 478-3444
Fax
(949) 759-7743
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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 20A7992 CA Primary

Addresses

Primary practice location

427 E 17TH St
#229
Costa Mesa, CA 92627-3201

Mailing address

427 E 17TH St
#229
Costa Mesa, CA 92627-3201
Phone (949) 478-3444

Other identifiers 1

IdentifierTypeStateIssuer
0020A7992MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000653 CA Practitioner - Psychiatry 3476710815 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 E 17TH St
Suite 229
Costa Mesa, CA 92627-3201
Phone (949) 478-3444

Hospital & facility affiliations

  • College Hospital Costa Mesa Hospital, Costa Mesa, CA, CCN 050543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7992CAMDPsychiatry Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1861584708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E 17TH ST",
            "address_2": "#229",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273201",
            "telephone_number": "949-478-3444",
            "fax_number": "949-759-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E 17TH ST",
            "address_2": "#229",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273201",
            "telephone_number": "949-478-3444",
            "fax_number": "949-759-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020A7992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.