Provider Demographics
NPI:1275574832
Name:SCHWARTZ, STEVEN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15215 NATIONAL AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2425
Mailing Address - Country:US
Mailing Address - Phone:408-559-1018
Mailing Address - Fax:408-371-3025
Practice Address - Street 1:15215 NATIONAL AVE STE 103
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2425
Practice Address - Country:US
Practice Address - Phone:408-559-1018
Practice Address - Fax:408-371-3025
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMC-1414208G00000X
WI1108208G00000X
CAG48808208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
EG48808OtherCHAMPUS
HG48808OtherHMO
CAOOG488080Medicaid
PG48808OtherPPO
OOG488080Medicare ID - Type Unspecified
HG48808OtherHMO