Provider Demographics
NPI:1427263953
Name:SCHAVE, DOUGLAS JAY (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JAY
Last Name:SCHAVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SANTA YNEZ
Mailing Address - State:CA
Mailing Address - Zip Code:93460-0360
Mailing Address - Country:US
Mailing Address - Phone:310-351-4591
Mailing Address - Fax:805-688-9562
Practice Address - Street 1:793 E FOOTHILL BLVD # 116
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-1615
Practice Address - Country:US
Practice Address - Phone:310-351-4591
Practice Address - Fax:805-439-1112
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2021-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG249492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42456Medicare UPIN