Eddie J Scales, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G58330 Issued in CA

Practice address

17817 Santiago Blvd
Villa Park, CA 92861-4133

Phone

(714) 267-6137

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Outreach Medical Services

  • Community Health Clinic/Center
  • Santa Ana, CA
  • NPI 1487947842
  NPD (past)
• Cure4Feet Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • North Hollywood, CA
  • NPI 1104149269
  NPD (past)
• Tim Franks Inc

  • Rehabilitation Chiropractor
  • Tustin, CA
  • NPI 1689876609
  NPD (past)
• United Medical Care Center Inc.

  • Specialist
  • San Bernardino, CA
  • NPI 1467590323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1215152137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 E FOOTHILL BLVD",
            "address_2": "STE 188",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073119",
            "telephone_number": "714-267-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17817 SANTIAGO BLVD",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614133",
            "telephone_number": "714-267-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "EDDIE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G58330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Recovery Bay Rehabilitation Center, LLC
• Remedx, Inc.
• Jonathan Rickmeyer
• Patrick Rocillo
• Jospeh A Ropel
• Eric Martin Sense, DC
• Rajesh Sharma, MSW, BCBA
• Sparkles KC LLC
• Rajagopal Keerthy Sunder, M.D.
• Sunrise Holistic Care Inc

• Family Medicine Physician in Villa Park, CA
• Providers in Villa Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.