Provider Demographics
NPI:1598148173
Name:SCHWARTZ, GABRIEL PEREZ (NP)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:PEREZ
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1825 FOURTH ST
Mailing Address - Street 2:BOX 4065
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-353-9888
Mailing Address - Fax:415-353-9931
Practice Address - Street 1:1825 FOURTH STREET
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158
Practice Address - Country:US
Practice Address - Phone:415-353-9888
Practice Address - Fax:415-353-9931
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95072076163W00000X
CA95004022363LF0000X, 363LF0000X
PARN667525163W00000X
NJ26NR17849600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse