Healthcare Provider Details

I. General information

NPI: 1508455098
Provider Name (Legal Business Name): VICTORIA SCHWARTZ-EDMISTEN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 WINDMILL WAY STE 19
CARMICHAEL CA
95608-1379
US

IV. Provider business mailing address

3417 VALLE VERDE DR
NAPA CA
94558-2414
US

V. Phone/Fax

Practice location:
  • Phone: 916-270-2856
  • Fax: 279-204-2027
Mailing address:
  • Phone: 916-216-5447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: