Active NPI
Scott Cummings Baron, P.A
- Physician Assistant
- Lake Forest, CA
National Provider Identifier
1104861384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12400
- Practice address
- 22855 Lake Forest Dr Ste a
Lake Forest, CA 92630-1656 - Phone
- (949) 452-7544
- NPI assigned
- Jun 19, 2006
- Last updated
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12400 | CA | Primary |
Addresses
Primary practice location
22855 Lake Forest Dr Ste a
Lake Forest, CA 92630-1656
Mailing address
2100 Powell St
Ste 920
Emeryville, CA 94608-1826
Phone (510) 350-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12400 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Auc, PC | Current | Accepting new patients |
Locations
26137 La Paz Rd
Ste 120
Mission Viejo, CA 92691
Phone (949) 452-3309
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1104861384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "STE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22855 LAKE FOREST DR STE A",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926301656",
"telephone_number": "949-452-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "SCOTT",
"middle_name": "CUMMINGS",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.