Basic Information
Provider Information
NPI: 1801082375
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHATZ
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 420 BELLEVUE AVE
Address2: APT 202
City: OAKLAND
State: CA
PostalCode: 946104958
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2579 SAN PABLO AVE
Address2:  
City: OAKLAND
State: CA
PostalCode: 946121159
CountryCode: US
TelephoneNumber: 5104467161
FaxNumber: 5104467191
Other Information
ProviderEnumerationDate: 09/19/2007
LastUpdateDate: 02/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA97658CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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