MEDICARE: DR. PETER JOHN ELLIOT SCHEID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A070698	CA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	A70698	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922024777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER JOHN ELLIOT SCHEID M.D.

Provider Business Mailing Address
First Line	:	34249 CAMINO CAPISTRANO
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1138
Country	:	US
Telephone Number	:	949-359-5663
Fax Number	:	949-542-3878

Provider Business Practice Location Address
First Line	:	34249 CAMINO CAPISTRANO
Second Line	:
City	:	CAPISTRANO BEACH
State	:	CA
Zip	:	92624-1138
Country	:	US
Telephone Number	:	949-629-4140
Fax Number	:	949-229-7684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	03/20/2018

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