Active NPI
Scott Grant, M.D.
- Retina Specialist (Ophthalmology) Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- G32479
- Practice address
- 301 W Bastanchury Rd
285
Fullerton, CA 92835-3419 - Phone
- (714) 738-4620
- Fax
- (714) 738-0388
- NPI assigned
- May 31, 2006
- Last updated
- Apr 21, 2017
- 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 |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | G32479 | CA | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd
285
Fullerton, CA 92835-3419
Mailing address
301 W Bastanchury Rd
285
Fullerton, CA 92835-3419
Phone (714) 738-4620
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
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Stanford University School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 W Bastanchury Rd
Suite 285
Fullerton, CA 92835-3432
Phone (714) 738-4620
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32479 | CA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants of Orange County, a Medical Corporation | Retina Specialist | Current | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Locations
301 W Bastanchury Rd
Ste 285
Fullerton, CA 92835
Phone (714) 738-4620
3900 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 431-7345
3771 Katella Ave
Ste 208
Los Alamitos, CA 90720
Phone (562) 431-7345
1135 S Sunset Ave
Ste 305
West Covina, CA 91790
Phone (626) 337-3500
6319 Greenleaf Ave
Whittier, CA 90601
Phone (562) 945-2468
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sgrant@rcoc.intellechartdirect.net
- sgrant@rcoc1898.srs-direct.com
Organizations & group practices 4
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.
-
- Retina Specialist (Ophthalmology) Physician
- Fullerton, CA
- NPI 1770539702
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1194762310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "285",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-738-4620",
"fax_number": "714-738-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "285",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-738-4620",
"fax_number": "714-738-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "G32479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.