Organization Active NPI

Creative Medical Services Inc

  • General Practice Physician
  • Costa Mesa, CA
National Provider Identifier
1902601503
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CREATIVE MEDICAL SERVICES INC
Practice address
1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299
Phone
(833) 221-4169
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Scott WilchekNPI 1053525816
Title
President
Phone
(833) 221-4169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299

Mailing address

1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299
Phone (833) 221-4169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418000977 CA Part B Supplier - Clinic/Group Practice 3577088822 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1902601503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272299",
            "telephone_number": "833-221-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272299",
            "telephone_number": "833-221-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "WILCHEK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-221-4169"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.