Warren Alan Scott, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

G52014 Issued in CA

Practice address

5161 Soquel Dr
Suite #B
Soquel, CA 95073-2560

Phone

(831) 479-7800

Fax

(831) 479-7089

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• DCHS Medical Foundation

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1740597368
  NPD (past)
• Verity Medical Foundation

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1326312067
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033144373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR",
            "address_2": "SUITE #B",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "831-479-7800",
            "fax_number": "831-479-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 SOQUEL DR",
            "address_2": "SUITE #B",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732560",
            "telephone_number": "831-479-7800",
            "fax_number": "831-479-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WARREN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G52014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc (Safeway Pharmacy #1929)
• Veronica Clark San Chirico Miller, MFT
• Mayra Lizeth Sanjuan, LA.C, DTCM
• Santa Cruz Community Counseling Center, Inc.
• Charles T Savoca, L.AC.
• Shannon Seeley, LCSW
• Justin F. Shyba, DDS
• Kris L Sidman Gale, MA
• Silicon Valley TMS of Monterey Bay
• Thomas Robert Silverman, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Soquel, CA
• Providers in Soquel, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.