Active NPI
Stephen D. Schneider, M.D.
- Pediatrics Physician
- Escondido, CA
National Provider Identifier
1962412353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 3245581205
- Practice address
- 625 W. Citracado Parkway
Suite 200
Escondido, CA 92025-6428 - Phone
- (760) 746-2641
- Fax
- (760) 740-2178
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3245581205 | UT | Primary |
Addresses
Primary practice location
625 W. Citracado Parkway
Suite 200
Escondido, CA 92025-6428
Mailing address
625 W. Citracado Parkway
Suite 200
Escondido, CA 92025-6428
Phone (760) 746-2641
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3245581205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1962412353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W. CITRACADO PARKWAY",
"address_2": "SUITE 200",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256428",
"telephone_number": "760-746-2641",
"fax_number": "760-740-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 W. CITRACADO PARKWAY",
"address_2": "SUITE 200",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256428",
"telephone_number": "760-746-2641",
"fax_number": "760-740-2178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "STEPHEN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "3245581205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.