Anthony J Scuderi, LAADC-S

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LR15912121 Issued in CA

Practice address

9964 Winkle Circle
Elk Grove, CA 95757-1904

Phone

(916) 879-9121

NPI assigned

Sep 23, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Anthony J Scuderi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• The Lotus Center Incorporated

  • Psychiatry Physician
  • Elk Grove, CA
  • NPI 1861909863
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104228980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9964 WINKLE CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576277",
            "telephone_number": "916-879-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9964 WINKLE CIRCLE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957571904",
            "telephone_number": "916-879-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "LAADC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "CDP0320813",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR15912121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "SCUDERI",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "LAADC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dejia I Scott
• Steven Harvey Scott, DDS, MS
• Tanyae Scott
• Blanche Scroggins
• Cora Heather Scruggs, PT
• SDS Agency Inc
• Sheldon M Sealey, DMD
• Minajoy T. Sebastian, MD
• Secure Medical Transit LLC
• Neida Segoviano Lozano

• All providers in Elk Grove, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.