Active NPI
Mary Ann Schaepper, M.D.
- Psychiatry Physician
- Redlands, CA
National Provider Identifier
1912922626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A63782
- Practice address
- 312 Brookside Ave
Redlands, CA 92373-4608 - Phone
- (951) 271-0397
- Fax
- (909) 475-6323
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | A63782 | CA | Primary |
Addresses
Primary practice location
312 Brookside Ave
Redlands, CA 92373-4608
Mailing address
312 Brookside Ave
Redlands, CA 92373-4608
Phone (951) 271-0397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A637820 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63782 | CA | MD | General Practice Dentistry |
| A63782 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients |
Locations
2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019
1860 Hamner Ave
Norco, CA 92860
Phone (951) 479-0070
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1508254814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1912922626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734608",
"telephone_number": "951-271-0397",
"fax_number": "909-475-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 BROOKSIDE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734608",
"telephone_number": "951-271-0397",
"fax_number": "909-475-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEPPER",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A63782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A637820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.