Individual provider Active NPI

Scott W Podlesh, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Clara, CA
National Provider Identifier
1861455917
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
40294 Issued in CA
Practice address
885 Scott Blvd
Suite 1
Santa Clara, CA 95050-5255
Phone
(408) 243-2300
Fax
(408) 243-2302
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 40294 CA Primary

Addresses

Primary practice location

885 Scott Blvd
Suite 1
Santa Clara, CA 95050-5255

Mailing address

1400 Redwood Dr
Los Altos, CA 94024-7248
Phone (650) 969-7860

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40294CAMDLicensed Psychiatric Technician

Interoperability endpoints

  • Direct secure messaging: spodlesh125949@santaclaravalley.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861455917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 REDWOOD DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940247248",
            "telephone_number": "650-969-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 SCOTT BLVD",
            "address_2": "SUITE 1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505255",
            "telephone_number": "408-243-2300",
            "fax_number": "408-243-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODLESH",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "40294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.