Active NPI
James L Edwards MD Medical Services Inc
- Adult Medicine Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A83531
- Legal business name
- JAMES L EDWARDS MD MEDICAL SERVICES INC
- Practice address
- 3725 Lone Tree Way
Suite C
Antioch, CA 94509-6064 - Phone
- (925) 754-1205
- NPI assigned
- Sep 28, 2011
- Last updated
- Sep 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Edwards, MD
- Title
- President
- Phone
- (925) 754-1205
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A83531 | CA | Primary |
Addresses
Primary practice location
3725 Lone Tree Way
Suite C
Antioch, CA 94509-6064
Mailing address
3725 Lone Tree Way
Suite C
Antioch, CA 94509-6064
Phone (925) 754-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3725 Lone Tree Way
#C
Antioch, CA 94509
Phone (925) 754-1205
3725 Lone Tree Way
Ste C
Antioch, CA 94509
Phone (925) 754-1205
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.
-
- Family Medicine Physician
- Antioch, CA
- NPI 1508885005
-
- Family Medicine Physician
- Antioch, CA
- NPI 1538187612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317168000000",
"number": "1922381755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 LONE TREE WAY",
"address_2": "SUITE C",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096064",
"telephone_number": "925-754-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 LONE TREE WAY",
"address_2": "SUITE C",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945096064",
"telephone_number": "925-754-1205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES L EDWARDS MD MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-28",
"last_updated": "2011-09-28",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-754-1205",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A83531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.