NPIMap

Individual provider Active NPI

Brian Escala Chavez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lake Forest, CA
National Provider Identifier
1215974969
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A76077 Issued in CA
Practice address
23331 El Toro Rd
Suite 102
Lake Forest, CA 92630-4891
Phone
(949) 916-9100
Fax
(949) 916-0091
NPI assigned
Jun 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A76077 CA Primary

Addresses

Primary practice location

23331 El Toro Rd
Suite 102
Lake Forest, CA 92630-4891

Mailing address

23331 El Toro Rd
Suite 102
Lake Forest, CA 92630-4891
Phone (949) 916-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514001278 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 7618967290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scke IncGroup PAC ID 6608822895, 20 clinicians

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 102
Laguna Hills, CA 92653-1241
Phone (949) 916-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76077CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scke, Inc Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2006 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
United Medical Doctors Past Accepting new patients
Felice L. Gersh, M.D., Inc. Past Accepting new patients

Locations

22 Odyssey
Ste 115
Irvine, CA 92618
Phone (949) 988-7550

23141 Moulton Pkwy
Ste 102
Laguna Hills, CA 92653
Phone (949) 916-9100

23331 El Toro Rd
Ste 102
Lake Forest, CA 92630
Phone (949) 633-8189

655 Camino de los Mares
#12
San Clemente, CA 92673
Phone (949) 916-9100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215974969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-916-9100",
            "fax_number": "949-916-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD",
            "address_2": "SUITE 102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304891",
            "telephone_number": "949-916-9100",
            "fax_number": "949-916-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "BRIAN",
        "middle_name": "ESCALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A76077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

Verify at the official NPI Registry.