Provider Demographics
NPI:1497067755
Name:DR. JOHN L SCHAEFFER, INC
Entity Type:Organization
Organization Name:DR. JOHN L SCHAEFFER, INC
Other - Org Name:CALIFORNIA TELEPSYCHIATRISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:800-377-8163
Mailing Address - Street 1:3308 EL CAMINO AVE
Mailing Address - Street 2:SUITE 300-136
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-6327
Mailing Address - Country:US
Mailing Address - Phone:800-377-8163
Mailing Address - Fax:
Practice Address - Street 1:3308 EL CAMINO AVE
Practice Address - Street 2:SUITE 300-136
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-6327
Practice Address - Country:US
Practice Address - Phone:800-377-8163
Practice Address - Fax:888-370-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A95362084P0800X, 2084P0804X
NMA-1243-032084P0800X, 2084P0804X
CODR387502084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty