Healthcare Provider Details

I. General information

NPI: 1689141962
Provider Name (Legal Business Name): STEVEN SCHIESSER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 BANCROFT AVE STE 267
OAKLAND CA
94605-2408
US

IV. Provider business mailing address

1807 CHESTNUT ST APT B
ALAMEDA CA
94501-1309
US

V. Phone/Fax

Practice location:
  • Phone: 510-735-0864
  • Fax: 510-647-9408
Mailing address:
  • Phone: 510-387-4930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: