Active NPI
Jennifer P. Scales
- Lactation Consultant (Non-RN)
- Sunnyvale, CA
National Provider Identifier
1235458019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 11030803
- Practice address
- 301 Old San Francisco Rd
Sunnyvale, CA 94086-6386 - Phone
- (408) 730-4251
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 11030803 | CA | Primary |
| Health Educator | 174H00000X |
Addresses
Primary practice location
301 Old San Francisco Rd
Sunnyvale, CA 94086-6386
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (408) 730-4251
Other practice location 1
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (650) 321-4121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11030803 | CA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1235458019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "408-730-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OLD SAN FRANCISCO RD",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866386",
"telephone_number": "408-730-4251"
}
],
"practiceLocations": [
{
"address_1": "795 El Camino Real",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012302",
"country_code": "US",
"telephone_number": "650-321-4121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCALES",
"first_name": "JENNIFER",
"middle_name": "P.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "11030803",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.