Edward Schneider, MD
Family Medicine in Stockton, CA. Individual provider (NPI-1).
NPI number1215919014
StatusActive
Last updated in NPPESJun 22, 2010
Details
- NPI
- 1215919014
- Entity type
- Individual (NPI-1)
- Name
- Edward Schneider
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2005
- Last updated
- Jun 22, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G20679 | CA | Yes |
Practice location
1017 W Lincoln RdStockton, CA 95207-2515
Phone 209-951-3945 · Fax 209-954-9205
Mailing address
1017 W Lincoln RdStockton, CA 95207-2515
Phone 209-951-3945 · Fax 209-954-9205
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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