Active NPI
James T Scott MD a Professional Corporation
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1043544505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G21732
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE556Z | Other | CA | MEDICARE INDIVIDUAL PTAN |
| 00G217320 | Medicaid | CA | |
| DE555A | Other | CA | MEDICARE GROUP PTAN |
| 1770667578 | Other | CA | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryNPI 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
- James McLindon
- James Mobaser DDS Inc (Silverlake Dental)
- James O. Eze (Oranto medical supplies)
- James R. Katz, M.D., Inc.
- James Song Pharm.D. Pharmacy Inc. (Serrano Medical Pharmacy)
- James T. Black, DDS a Professional Dental Corporation (DBA Crenshaw Professional Dental Center)
- James T. Long, M.D., PH.D., Inc.
- James Y. Wang, MD, Inc. (Metropolis Dermatology)
- Brenda Joyce James-Johnson, CAS,RAS
- Kathryn James-Jolly
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.