Individual provider Active NPI

Edward Allen Schlies, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Pleasanton, CA
National Provider Identifier
1891814539
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
G33839 Issued in CA
Practice address
2324 Santa Rita Rd Ste 10
Pleasanton, CA 94566-4150
Phone
(925) 462-6441
Fax
(925) 426-6851
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X G33839 CA Primary

Addresses

Primary practice location

2324 Santa Rita Rd Ste 10
Pleasanton, CA 94566-4150

Mailing address

2324 Santa Rita Rd
Ste 10
Pleasanton, CA 94566-4152
Phone (925) 462-6441

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
I20040514000773 CA Practitioner - Psychiatry 4688661655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2324 Santa Rita Rd
Pleasanton, CA 94566-4150
Phone (925) 462-6441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G33839CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E. Allen Schlies MD, Inc CurrentSince Oct 1, 1987 Accepting new patients

Locations

2324 Santa Rita Rd
Ste 10
Pleasanton, CA 94566
Phone (510) 339-8458

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1891814539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "STE 10",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-462-6441",
            "fax_number": "925-426-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD STE 10",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664150",
            "telephone_number": "925-462-6441",
            "fax_number": "925-426-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIES",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G33839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.