Healthcare Provider Details

I. General information

NPI: 1053476291
Provider Name (Legal Business Name): DAVID WAYNE SCHARNHORST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL PATHOLOGY SC12
MADERA CA
93638-8761
US

IV. Provider business mailing address

9300 VALLEY CHILDRENS PL PATHOLOGY SC12
MADERA CA
93638-8761
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6105
  • Fax: 559-353-6072
Mailing address:
  • Phone: 559-353-6105
  • Fax: 559-353-6072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License NumberG62872
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: