Provider Demographics
NPI:1942232756
Name:SWARTZ, AUBREY ARNOLD (MD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:ARNOLD
Last Name:SWARTZ
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 1:2648 INTERNATIONAL BLVD, STE 502
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601
Mailing Address - Country:US
Mailing Address - Phone:510-536-1467
Mailing Address - Fax:510-536-1508
Practice Address - Street 1:1400 FLORIDA AVE. , SUITE 108
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-521-6073
Practice Address - Fax:510-536-1508
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA22008174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA22868Medicare UPIN
CA00A220082Medicare ID - Type UnspecifiedOAKLAND LOCATION
CA00A220081Medicare ID - Type UnspecifiedSAN JOSE LOCATION
CA00A220080Medicare ID - Type UnspecifiedSAN FRANCISCO LOCATION
CA00A22008Medicare UPIN
CA00A220087Medicare ID - Type UnspecifiedMODESTO LOCATION
CA00A220088Medicare ID - Type UnspecifiedSACRAMENTO