Provider Demographics
NPI:1548363856
Name:SCHIFF, STEVE (NPF)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:NPF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2322
Mailing Address - Country:US
Mailing Address - Phone:510-535-4000
Mailing Address - Fax:510-535-4128
Practice Address - Street 1:3451 EAST 12TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601
Practice Address - Country:US
Practice Address - Phone:510-535-3319
Practice Address - Fax:510-535-4187
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF15392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29799ZOtherFQHC MEDICARE PART B
CA55-1975OtherFQHC MEDICARE PART A
CAHAP71021FOtherFPACT
CAFHC71021FMedicaid