Eduardo Amezcua, MD
Individual provider Active NPI Family Medicine Physician · Westminster, CA
NPI 1073192027 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1073192027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A194215 (CA)
- Practice address
- 15464 Goldenwest St
Westminster, CA 92683 - Phone
- (714) 891-9008
- Fax
- (714) 897-7949
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorialcare Medical Foundation
Practice addresses (Care Compare)
26538 Moulton Pkwy
Suite 38E
Laguna Hills, CA 92653-8232
Phone (949) 448-0656
Hospital & facility affiliations
- Memorialcare Orange Coast Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250205003869 | CA | Practitioner - Family Practice | 3173055035 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A194215 | CA | MD | Family Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Family Medicine | Current |
Accepting new patients |
| Bristol Park Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
26538 Moulton Pkwy
Ste 38E
Laguna Hills, CA 92653
Phone (949) 448-0656
15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eamezcua74024@valleychildrens-prd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A194215 | CA | Yes |
Addresses
Primary practice location
15464 Goldenwest St
Westminster, CA 92683
Mailing address
15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
Other providers in Westminster, CA
- Cynthia Marie Alvarado
- Amal Hanna DDS Inc
- Delia Amansec
- Americade Health Services, Inc.
- American Beam Clinic Inc
- Marli Amin
- An Medical Center
- An Nguyen DDS, Inc
- An Vu Dentistry
- Elizabeth J An
All providers in Westminster, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.