Basic Information
Provider Information
NPI: 1023014727
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAEFER
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1500 EXPO PKWY
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958154227
CountryCode: US
TelephoneNumber: 9166468300
FaxNumber: 9169204434
Practice Location
Address1: 3161 L ST
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958165234
CountryCode: US
TelephoneNumber: 9164539999
FaxNumber: 9167391099
Other Information
ProviderEnumerationDate: 06/27/2005
LastUpdateDate: 10/10/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085B0100XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging
2085N0700XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyNeuroradiology
2085N0904XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
2085R0202XG30520CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0203XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
2085R0204XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
2085R0205XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyRadiological Physics
2085U0001XG30520CAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound

No ID Information.


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