Individual provider Active NPI

Edward S. Drake, D.O.

  • Family Medicine Physician
  • Placentia, CA
National Provider Identifier
1629132592
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5769 Issued in CA
Practice address
1325 N Rose Dr
Suite 201
Placentia, CA 92870-3840
Phone
(714) 203-1760
Fax
(714) 203-1765
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5769 CA Primary

Addresses

Primary practice location

1325 N Rose Dr
Suite 201
Placentia, CA 92870-3840

Mailing address

1325 N Rose Dr
Suite 201
Placentia, CA 92870-3840
Phone (714) 203-1760

Other identifiers 1

IdentifierTypeStateIssuer
20A5769OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
89.89
Improvement activities
40
Cost
81.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5769CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medipath Health Care Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edward.drake.p7@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: edward.drake.1@32527.direct.athenahealth.com

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1629132592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 201",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "714-203-1760",
            "fax_number": "714-203-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 201",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703840",
            "telephone_number": "714-203-1760",
            "fax_number": "714-203-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "EDWARD",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A5769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.