Provider Demographics
NPI:1699795336
Name:SCHIFF, DAVID CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHARLES
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:CM
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1090 ADAMS STREET
Mailing Address - Street 2:SUITE G
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2953
Mailing Address - Country:US
Mailing Address - Phone:707-748-3100
Mailing Address - Fax:707-745-3100
Practice Address - Street 1:190 ADAMS STREET
Practice Address - Street 2:SUITE G
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2953
Practice Address - Country:US
Practice Address - Phone:707-748-3100
Practice Address - Fax:707-745-3100
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG31423207XS0106X, 207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA006314230Medicaid
CAA44769Medicare UPIN
CA006314230Medicaid