PHILLIP E SCHOENWETTER MD , INC (NPI# 1114241932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114241932 |
| Entity Type | Organization |
| Organization Name | PHILLIP E SCHOENWETTER MD , INC |
| Practice Address |
787 W 9th St San Pedro CA 90731-3601 |
| Practice Telephone | 3108320258 |
| Practice Fax Number | 3108339825 |
| Mailing Telephone | 3108320258 |
| Mailing Fax Number | 3108339825 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | DR. PHILLIP E SCHOENWETTER (PHYSICIAN) |
| Authorized Official Telephone | 3108320258 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A030285 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
787 W 9TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700958667 | Phillip Edward Schoenwetter | Family Medicine | 787 W 9th St, San Pedro, CA 90731-3601 | 2006-11-15 |
| 1568748838 | Diagnostic Imaging and Dynamics, LLC | Radiologic Technologist | 787 W 9th St, San Pedro, CA 90731-3601 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841603586 | Ali Ahmad Medical Corp | Family Medicine | 350 W 5th St Ste 105, San Pedro, CA 90731-2751 | 2014-06-10 |
| 1922351303 | Medical Plaza of San Pedro Inc. | Family Medicine | 529 W 7th St, San Pedro, CA 90731-3115 | 2012-10-22 |
| 1700958667 | Phillip Edward Schoenwetter | Family Medicine | 787 W 9th St, San Pedro, CA 90731-3601 | 2006-11-15 |
| 1245321272 | David H Smith | Family Medicine | 1360 W 6th St Ste D, San Pedro, CA 90732-3554 | 2006-09-27 |
| 1598711319 | Angel George Angelow | Family Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2006-05-25 |
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1831660588 | Krupa Shah Md, A Professional Corporation | Family Medicine | 1294 W 6th St Ste 204, San Pedro, CA 90731-2998 | 2018-12-06 |
| 1114474350 | Shanna Lee Darling | Family Medicine | 1350 W 6th St, San Pedro, CA 90732-3544 | 2016-09-06 |
| 1760835086 | Dr. Gregory A. Smith, Md Inc. | Family Medicine | 715 S Averill Ave, San Pedro, CA 90732-3813 | 2016-07-21 |
| 1326396664 | Nathaniel Leong | Family Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2012-08-16 |
| Find all providers in SAN PEDRO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.