MEDICARE: MICHAEL S SCHNEIDER M.D.

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	207L00000X	Anesthesiology Physician	A50520	CA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	A50520	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

General Provider Information

NPI Number	:	1831173780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S SCHNEIDER M.D.

Provider Business Mailing Address
First Line	:	210 N TUSTIN AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3807
Country	:	US
Telephone Number	:	714-347-1010
Fax Number	:	714-347-1082

Provider Business Practice Location Address
First Line	:	2600 REDONDO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2325
Country	:	US
Telephone Number	:	562-988-7000
Fax Number	:	562-988-7198

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	02/16/2022

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