Provider Demographics
NPI:1386641306
Name:SCHECHTER, PATRICA ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICA
Middle Name:ANNE
Last Name:SCHECHTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7619 MORRO RD
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93422-4433
Mailing Address - Country:US
Mailing Address - Phone:805-461-7144
Mailing Address - Fax:805-461-7141
Practice Address - Street 1:7619 MORRO RD
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-4433
Practice Address - Country:US
Practice Address - Phone:805-461-7144
Practice Address - Fax:805-461-7141
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX53870Medicaid
CAA93619Medicare UPIN
CA00AX53870Medicaid