Provider Demographics
NPI:1033220967
Name:SCHWARTZBURG, AMY M (NP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:M
Last Name:SCHWARTZBURG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:PYLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:1500 OWENS ST STE 320
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2335
Mailing Address - Country:US
Mailing Address - Phone:415-353-2069
Mailing Address - Fax:415-353-2633
Practice Address - Street 1:1500 OWENS ST STE 320
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2335
Practice Address - Country:US
Practice Address - Phone:415-353-2097
Practice Address - Fax:415-353-2633
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA622976363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA006229760Medicaid