Individual provider Active NPI

Emily Dyson Scott, MD

  • Cardiovascular Disease Physician
  • San Diego, CA
National Provider Identifier
1003910456
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69621 Issued in CA
Practice address
4060 Fourth Avenue
Suite 500
San Diego, CA 92103-2120
Phone
(619) 260-1900
Fax
(619) 260-1919
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G69621 CA Primary

Addresses

Primary practice location

4060 Fourth Avenue
Suite 500
San Diego, CA 92103-2120

Mailing address

4060 Fourth Avenue
Suite 500
San Diego, CA 92103-2120
Phone (619) 260-1900

Other identifiers 1

IdentifierTypeStateIssuer
00G696212MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000495 CA Practitioner - Cardiovascular Disease (Cardiology) 8527008218 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, San Diego School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Mercy Physicians Cardiology Medical CorporationGroup PAC ID 0143264879, 34 clinicians
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

4060 4TH Ave
Suite 500
San Diego, CA 92103-2121
Phone (619) 260-1900

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 260-7245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69621CAMDPharmacist
G69621CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Scripps Mercy Physicians Cardiology Medical Corporation Cardiovascular Disease CurrentSince Jun 1, 2005 Accepting new patients
Jeffry a Mullvain MD Inc Cardiovascular Disease Current Accepting new patients
Emily Dyson Scott MD F a C C Inc Cardiovascular Disease CurrentSince May 30, 2010 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
San Diego Hospital Based Physicians Medical Association Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4060 4th Ave
Ste 500
San Diego, CA 92103
Phone (619) 260-1900

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

5395 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (619) 688-7800

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: escott80481@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAFDAD/Endpoint/CAFDAD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1003910456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-260-1900",
            "fax_number": "619-260-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032120",
            "telephone_number": "619-260-1900",
            "fax_number": "619-260-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EMILY",
        "middle_name": "DYSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G69621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G696212",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.