Individual provider Active NPI

Dean J Scofield, M.D.

  • Cardiovascular Disease Physician
  • Palm Springs, CA
National Provider Identifier
1487644209
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G19511 Issued in CA
Practice address
1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418
Phone
(760) 992-7171
Fax
(760) 327-3846
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

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
Cardiovascular Disease Physician 207RC0000X G19511 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418

Mailing address

1100 N Palm Canyon Dr Ste 109
Palm Springs, CA 92262-4418
Phone (760) 992-7171

Other practice location 1

1005 Washington St
Red Bluff, CA 96080-2746
Phone (530) 529-7600

Other practice location 2

1005 Washington St
Red Bluff, CA 96080-2746
Phone (530) 529-7600

Other identifiers 1

IdentifierTypeStateIssuer
00G195110MedicaidCA

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
I20040308000400 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5092603530 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G19511CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc Current Accepting new patients
Central City Community Health Center Inc CurrentSince Nov 11, 2019 Accepting new patients
Central City Community Health Center Inc CurrentSince Nov 11, 2019 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
San Bernardino Mountains Community Hospital District Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Jeffrey W Grolig MD Inc Past Accepting new patients
Catholic Healthcare West Past Accepting new patients

Locations

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1860 Hamner Ave
Norco, CA 92860
Phone (951) 479-0070

1000 San Gabriel Blvd
Ste 200
Rosemead, CA 91770
Phone (323) 724-0019

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487644209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 109",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624418",
            "telephone_number": "760-992-7171",
            "fax_number": "760-327-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 109",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624418",
            "telephone_number": "760-992-7171",
            "fax_number": "760-327-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Washington St",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960802746",
            "country_code": "US",
            "telephone_number": "530-529-7600",
            "fax_number": "530-529-6805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Washington St",
            "address_purpose": "LOCATION",
            "city": "Red Bluff",
            "state": "CA",
            "postal_code": "960802746",
            "country_code": "US",
            "telephone_number": "530-529-7600",
            "fax_number": "530-529-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "DEAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G19511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G195110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.