Organization Active NPI

James T Scott MD a Professional Corporation

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1043544505
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G21732 Issued in CA
Legal business name
JAMES T SCOTT MD A PROFESSIONAL CORPORATION
Practice address
12011 San Vicente Blvd
408
Los Angeles, CA 90049-4926
Phone
(310) 883-8153
Fax
(310) 454-7351
NPI assigned
Sep 30, 2009
Last updated
Jul 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. James Thomas Scott, M.D.
Title
President
Phone
(310) 883-8153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G21732 CA Primary

Addresses

Primary practice location

12011 San Vicente Blvd
408
Los Angeles, CA 90049-4926

Mailing address

12011 San Vicente Blvd
408
Los Angeles, CA 90049-4926
Phone (310) 883-8153

Other identifiers 4

IdentifierTypeStateIssuer
DE556ZOtherCAMEDICARE INDIVIDUAL PTAN
00G217320MedicaidCA
DE555AOtherCAMEDICARE GROUP PTAN
1770667578OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1043544505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-883-8153",
            "fax_number": "310-454-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-883-8153",
            "fax_number": "310-454-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T SCOTT MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-883-8153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G21732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "DE556Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G217320",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "DE555A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770667578",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.