Provider Demographics
NPI:1679544662
Name:SCALES, PIERRE A (MD, FACOG)
Entity type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:A
Last Name:SCALES
Suffix:
Gender:M
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 FAUNA CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8312
Mailing Address - Country:US
Mailing Address - Phone:209-357-2099
Mailing Address - Fax:209-357-1827
Practice Address - Street 1:1251 GROVE AVE
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301-3653
Practice Address - Country:US
Practice Address - Phone:209-357-2099
Practice Address - Fax:209-357-1827
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG604580207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G604580Medicaid
CA00G604580Medicaid
CA00G604580Medicare ID - Type Unspecified