Provider Demographics
NPI:1326282237
Name:SCHNEIDER, SARAH ASHLEY (DPM)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ASHLEY
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:669 CRESPI DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3436
Mailing Address - Country:US
Mailing Address - Phone:650-359-7770
Mailing Address - Fax:650-359-3449
Practice Address - Street 1:1809 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-2113
Practice Address - Country:US
Practice Address - Phone:619-515-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4819213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00504AMedicare UPIN