Active NPI
Dean J Scofield, M.D.
- Cardiovascular Disease Physician
- Palm Springs, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G19511
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G195110 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19511 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | Accepting new patients | |
| Central City Community Health Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235283094
-
- Federally Qualified Health Center (FQHC)
- Norco, CA
- NPI 1033488416
-
- Federally Qualified Health Center (FQHC)
- Upland, CA
- NPI 1174996318
-
- Institutional Pharmacy
- Red Bluff, CA
- NPI 1265472914
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Rehabilitation Clinic/Center
- Red Bluff, CA
- NPI 1942489117
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- Medicare Defined Swing Bed Hospital Unit
- Lake Arrowhead, CA
- NPI 1073663662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.