Provider Demographics
NPI:1679984520
Name:SCHNEIDER, DARIUS ALEXANDER (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DARIUS
Middle Name:ALEXANDER
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 GENESEE AVE
Mailing Address - Street 2:STE 470
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1228
Mailing Address - Country:US
Mailing Address - Phone:858-405-6719
Mailing Address - Fax:
Practice Address - Street 1:9850 GENESEE AVE STE 470
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1228
Practice Address - Country:US
Practice Address - Phone:858-622-7200
Practice Address - Fax:858-622-7211
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA145737207RE0101X
WAMD 60663200207RE0101X
CA143757207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine