Healthcare Provider Details

I. General information

NPI: 1770215527
Provider Name (Legal Business Name): ANTHONY SCHWAB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 LIBERTY ST
REDDING CA
96001-0814
US

IV. Provider business mailing address

1255 LIBERTY ST
REDDING CA
96001-0814
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-2467
  • Fax: 530-242-9460
Mailing address:
  • Phone: 530-246-2467
  • Fax: 530-242-9460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberE6128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: