Physician Compare National (NPI:1861584708)

HEALTHCARE PROVIDER: MICHAEL DAVID SCHWARTZ D.O.

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

Individual Professional Information
NPI	1861584708
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476710815
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120213000653
	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	MICHAEL
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	427 E 17TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 229
	Group Practice or individual's line 2 address
City	COSTA MESA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926273201
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9494783444
	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	050543
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COLLEGE HOSPITAL COSTA MESA
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y