Provider Demographics
NPI:1497009682
Name:CLAUDE M. SCHUTZ, DPM INC.
Entity Type:Organization
Organization Name:CLAUDE M. SCHUTZ, DPM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:559-227-3338
Mailing Address - Street 1:1332 W HERNDON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-7118
Mailing Address - Country:US
Mailing Address - Phone:559-227-3338
Mailing Address - Fax:559-291-4493
Practice Address - Street 1:1332 W HERNDON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-7118
Practice Address - Country:US
Practice Address - Phone:559-227-3338
Practice Address - Fax:559-291-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE21983213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA606772100OtherDEPT OF LABOR
CA00E21981Medicaid
CA606772100OtherDEPT OF LABOR
CA00E21983Medicare PIN