Active NPI
Terry Wesley Scott, M.D.
- Otolaryngology Physician
- Diamond Bar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G54536
- Practice address
- 1111 Grand Ave
# E
Diamond Bar, CA 91765-4171 - Phone
- (909) 860-7712
- Fax
- (909) 861-1311
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G54536 | CA | Primary |
Addresses
Primary practice location
1111 Grand Ave
# E
Diamond Bar, CA 91765-4171
Mailing address
1111 Grand Ave
# E
Diamond Bar, CA 91765-4171
Phone (909) 860-7712
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230221001628 | CA | Practitioner - Otolaryngology | 7719359777 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Howard University College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1111 Grand Ave
Suite E
Diamond Bar, CA 91765-2227
Phone (909) 860-7712
Hospital & facility affiliations
- Casa Colina Hospital
- Pomona Valley Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54536 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Bar Ear Nose & Throat Specialty Medical Group, Inc. | Otolaryngology | Current | Accepting new patients |
Locations
1111 Grand Ave
Ste E
Diamond Bar, CA 91765
Phone (909) 860-7712
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Diamond Bar, CA
- NPI 1316013931
CA, Otolaryngology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Pomona, CA
- NPI 1821075870
Hospital
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1952777245
Hospital
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124183868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 GRAND AVE",
"address_2": "# E",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654171",
"telephone_number": "909-860-7712",
"fax_number": "909-861-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GRAND AVE",
"address_2": "# E",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654171",
"telephone_number": "909-860-7712",
"fax_number": "909-861-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TERRY",
"middle_name": "WESLEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G54536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.