Active NPI
David Eric Scafidi, MD
- Diagnostic Radiology Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G80079
- Practice address
- 36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595-7512 - Phone
- (951) 600-3811
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G80079 | CA | Primary |
Addresses
Primary practice location
36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595-7512
Mailing address
Dept la 21693
Pasadena, CA 91185-1693
Phone (858) 564-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G800790 | Medicaid | CA | |
| 00G800790 | Other | CA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200
Hospital & facility affiliations
- Temecula Valley Hospital
- Southwest Healthcare Rancho Springs Hospital
- Loma Linda University Medical Center-Murrieta
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80079 | CA | MD | Pharmacist |
| G80079 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| Palomar Health | Past | Accepting new patients |
Locations
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1215903158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 21693",
"city": "PASADENA",
"state": "CA",
"postal_code": "911851693",
"telephone_number": "858-564-1400",
"fax_number": "858-564-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR",
"address_2": "STE 101",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957512",
"telephone_number": "951-600-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAFIDI",
"first_name": "DAVID",
"middle_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G80079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G800790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00G800790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.