Organization Active NPI

Scott E Nelson MD a Medical Corporation

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1194090423
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G30870 Issued in CA
Legal business name
SCOTT E NELSON MD A MEDICAL CORPORATION
Practice address
612 W Duarte Rd
Suite 404
Arcadia, CA 91007-7602
Phone
(636) 445-3900
NPI assigned
Mar 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Scott E Nelson, MD
Title
Physician
Phone
(626) 445-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G30870 CA Primary

Addresses

Primary practice location

612 W Duarte Rd
Suite 404
Arcadia, CA 91007-7602

Mailing address

612 W Duarte Rd
Suite 404
Arcadia, CA 91007-7602
Phone (636) 445-3900

Other identifiers 1

IdentifierTypeStateIssuer
G30870OtherCAMEDICARE PTAN NUMBER G30870

Other names 1

  • Scott E Nelson MD Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1194090423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 404",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "636-445-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "SUITE 404",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "636-445-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E NELSON MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "626-445-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G30870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER G30870",
            "identifier": "G30870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott E Nelson MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.