Physician Compare National (NPI:1679697742)

HEALTHCARE PROVIDER:

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679697742
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234166992
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050725000541
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHWARTZ
	Individual professional last name
Provider First Name	ELLIOTT
	Individual professional first name
Provider Middle Name	N
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	50 VASHELL WAY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	ORINDA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945633020
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5104513800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050454
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UCSF MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050043
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALTA BATES SUMMIT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050441
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	STANFORD HEALTH CARE
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M