Individual provider Active NPI

Robert E Scott Jr., MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • La Jolla, CA
National Provider Identifier
1154433704
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
G73573 Issued in CA
Practice address
9834 Genesee Ave Ste 223B
La Jolla, CA 92037-1215
Phone
(582) 777-1238
Fax
(619) 582-2860
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X G73573 CA Primary

Addresses

Primary practice location

9834 Genesee Ave Ste 223B
La Jolla, CA 92037-1215

Mailing address

6719 Alvarado Rd Ste 200
San Diego, CA 92120-5256
Phone (619) 229-3932

Other identifiers 1

IdentifierTypeStateIssuer
CB284785MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040331001707 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain ManagementPractitioner - Sports Medicine 4183616022 Reassigns benefits to 4 organizations
Practice locations: La Jolla, CA; San Diego, CA
I20200211002937 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Sports MedicinePractitioner - Pain Management 4183616022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management, Sports Medicine
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rodney D. Henderson, M.D.Group PAC ID 4486825759, 2 clinicians
Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

2851 S Ave B
Suite 2403
Yuma, AZ 85364-7759
Phone (928) 726-2990

9834 Genesee Ave
Suite 223B
La Jolla, CA 92037-1215
Phone (858) 277-7123

PO Box
Mammoth Lakes, CA 93546-0660

Hospital & facility affiliations

  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013
  • Mammoth Hospital Hospital, Mammoth Lakes, CA, CCN 051303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G73573CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mono Health Care District CurrentSince Apr 1, 2026 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc. CurrentSince May 1, 2024 Accepting new patients
Robert E Scott MD Inc Apmc Sports Medicine CurrentSince Jan 1, 2023 Accepting new patients
California Orthopaedic Institute Medical Associates, Inc CurrentSince May 1, 2024 Accepting new patients
Rodney D. Henderson, M.D. CurrentSince Dec 24, 2019 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients

Locations

2851 S Avenue B
Ste 2403
Yuma, AZ 85364
Phone (928) 726-2990

12865 Pointe del Mar Way
Ste 200
Del Mar, CA 92014
Phone (858) 535-1075

9834 Genesee Ave
Ste 223
La Jolla, CA 92037
Phone (858) 554-0695

9834 Genesee Ave
Ste 223B
La Jolla, CA 92037
Phone (582) 777-1238

9187 Clairemont Mesa Blvd
#6733
San Diego, CA 92123

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robert.scott.1@9211.direct.athenahealth.com
  • Direct secure messaging: rscott81586@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1154433704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 ALVARADO RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205256",
            "telephone_number": "619-229-3932",
            "fax_number": "619-582-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 223B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371215",
            "telephone_number": "582-777-1238",
            "fax_number": "619-582-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "G73573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB284785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.