Individual provider Active NPI

Eric D. Scher, M.D.

  • Pediatrics Physician
  • Petaluma, CA
National Provider Identifier
1255388559
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A42149 Issued in CA
Practice address
400 4TH St
Petaluma, CA 94952-4205
Phone
(415) 846-9160
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A42149 CA Primary

Addresses

Primary practice location

400 4TH St
Petaluma, CA 94952-4205

Mailing address

400 4TH St
Petaluma, CA 94952-4205
Phone (415) 846-9160

Other practice location 1

400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone (707) 303-1709

Other identifiers 1

IdentifierTypeStateIssuer
00A421490MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811001957 CA Practitioner - Emergency MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 4486948528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42149CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: escher56746@alamedahs.direct-ci.com
  • Direct secure messaging: escher194755@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255388559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 4TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524205",
            "telephone_number": "415-846-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 4TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524205",
            "telephone_number": "415-846-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N McDowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949542339",
            "country_code": "US",
            "telephone_number": "707-303-1709",
            "fax_number": "707-303-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHER",
        "first_name": "ERIC",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A421490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.