Scott Small, D.O., Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20A11607 Issued in CA

Legal business name

SCOTT SMALL, D.O., INC.

Practice address

17251 17TH St
Tustin, CA 92780-1970

Phone

(714) 832-2273

Fax

(714) 832-2272

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Scott Small, MDNPI 1700047669

Title

Director

Phone

(516) 659-0544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Small, D.O.

  • Interventional Pain Medicine Physician
  • Irvine, CA
  • NPI 1700047669
  NPD (past) Authorized official
• John Djerbaka, P.T.

  • Physical Therapist
  • Tustin, CA
  • NPI 1003156126
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1083123400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 RESIDENCIA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609063",
            "telephone_number": "516-659-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17251 17TH ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801970",
            "telephone_number": "714-832-2273",
            "fax_number": "714-832-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SMALL, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-659-0544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A11607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A11607",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Schuler, MFT
• Christie Lynn Schultz
• Schuppet Dental Corporation
• Andrea Schwab, DC
• Kimberley R. Argue Schwartz, PHD
• Katie Miranda Scott, LMFT
• Ramon Scruggs, M.D.
• Jean Louis Selam
• Select Specialty RX
• Carl R Selin, M.D.

• Pain Medicine (Anesthesiology) Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.