Active NPI
Richard C. Scatterday, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Anaheim, CA
National Provider Identifier
1134474042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- C043267
- Practice address
- 629 S Greenwich St
Anaheim, CA 92804-3438 - Phone
- (714) 778-0368
- Fax
- (714) 761-7999
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | C043267 | CA | Primary |
Addresses
Primary practice location
629 S Greenwich St
Anaheim, CA 92804-3438
Mailing address
629 S Greenwich St
Anaheim, CA 92804-3438
Phone (714) 778-0368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C043267 | CA | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1134474042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 S GREENWICH ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043438",
"telephone_number": "714-778-0368",
"fax_number": "714-761-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 S GREENWICH ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043438",
"telephone_number": "714-778-0368",
"fax_number": "714-761-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCATTERDAY",
"first_name": "RICHARD",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CA",
"license": "C043267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.