CONRAD FREDERIC SCHOENWALD DO NPI 1033374715

NPI Information

NPI: 1033374715
Provider Name: CONRAD FREDERIC SCHOENWALD, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1119 E MONTE VISTA AVE
VACAVILLE, CA
ZIP 95688
Phone: (707) 469-4640
Get Directions

Conrad Frederic Schoenwald, DO is a family medicine in Vacaville, CA with 19 years of experience. The provider is 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. Conrad Frederic Schoenwald, DO NPI is 1033374715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1119 E MONTE VISTA AVE
VACAVILLE, CA
ZIP 95688-009
Phone: (707) 469-4640
Fax: (707) 449-3919

The NPI 1033374715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 12/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		247534	NEW YORK	No
2	207Q00000X	Family Medicine		20A11262	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033374715	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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