Active NPI
Edward S. Drake, D.O.
- Family Medicine Physician
- Placentia, CA
National Provider Identifier
1629132592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5769
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A5769 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.27 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A5769 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medipath Health Care Inc | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- edward.drake.p7@direct.caremorewest.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Placentia, CA
- NPI 1790950905
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.