Provider Demographics
NPI:1356366702
Name:SCHMIDT, CHRISTOPHER P (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:P
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15215 NATIONAL AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2425
Mailing Address - Country:US
Mailing Address - Phone:408-356-2147
Mailing Address - Fax:408-356-0258
Practice Address - Street 1:15215 NATIONAL AVE STE 204
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2425
Practice Address - Country:US
Practice Address - Phone:408-356-2147
Practice Address - Fax:408-356-0258
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA42337207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A423370Medicare PIN