MEDICARE: PAUL E SCHWARTZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	G604590	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00G604590	OTHER	CA	BLUE SHIELD
3	CMS158392	OTHER	CA	CMS-EDS-CCS

General Provider Information

NPI Number	:	1780796904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E SCHWARTZ MD

Provider Business Mailing Address
First Line	:	PO BOX 991950
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96099-1950
Country	:	US
Telephone Number	:	530-246-2467
Fax Number	:	530-242-9460

Provider Business Practice Location Address
First Line	:	1255 LIBERTY STREET
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-0814
Country	:	US
Telephone Number	:	530-246-2467
Fax Number	:	530-242-9460

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	08/03/2020

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Directions to “ PAUL E SCHWARTZ MD” Practice Location

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