Scott A. Gillin, MD

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

G83435 Issued in CA

Practice address

19553 San Elijo Ave, Ste 200
Cardiff-by-the-Sea, CA 92007-2348

Phone

(858) 215-2618

Fax

(858) 365-5617

NPI assigned

Jul 10, 2006

Last updated

Jul 24, 2026By the provider in NPPES

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 identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.gillin.1@33079.direct.athenahealth.com

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.

• Scott Gillin MD Inc

  dba Seaside Ketamine

  • Pediatric Anesthesiology Physician
  • Cardiff, CA
  • NPI 1770468548
  Medicare reassignment NPD Authorized official
• Pediatric Office Anesthesia Specialists

  • Pediatric Anesthesiology Physician
  • San Diego, CA
  • NPI 1649880147
  NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1164456513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 MERCADO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "92014",
            "telephone_number": "858-254-0512",
            "fax_number": "858-365-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19553 SAN ELIJO AVE, STE 200",
            "city": "CARDIFF-BY-THE-SEA",
            "state": "CA",
            "postal_code": "920072348",
            "telephone_number": "858-215-2618",
            "fax_number": "858-365-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIN",
        "first_name": "SCOTT",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G83435",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "G83435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00G834350",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G834350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Gill Garnica, LCSW
• Melissa Anne Gerke, AU.D.
• Gold Coast Chiropractic Center Inc
• Courtney Golden, DC
• Goldin Physical Therapy Corporation
• Renee Marie Grant Vartabedian, D.C.
• Lorri Anne Greene, PHD PSYCHOLOGIST

• Pediatric Anesthesiology Physician in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Pediatric Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.

Verify at the official NPI Registry.