Provider Demographics
NPI:1437191327
Name:SCHATZ, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SCHATZ
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 1:58457 29 PALMS HWY
Mailing Address - Street 2:STE. 200
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-5879
Mailing Address - Country:US
Mailing Address - Phone:760-228-1813
Mailing Address - Fax:760-369-7331
Practice Address - Street 1:58457 29 PALMS HWY
Practice Address - Street 2:STE. 200
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-5879
Practice Address - Country:US
Practice Address - Phone:760-228-1813
Practice Address - Fax:760-369-7331
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42130207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA157642OtherMEDICARE PTAN
CA1437191327Medicaid
CA1437191327Medicaid