Active NPI
Scott C. Thomson, M.D.
- Nephrology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G053658
- Practice address
- 3350 La Jolla Village Drive
Vasdhs Department of Medicine 9151
San Diego, CA 92161 - Phone
- (858) 552-7528
- Fax
- (858) 642-1438
- NPI assigned
- Jul 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G053658 | CA | |
| Internal Medicine Physician | 207R00000X | G053658 | CA | |
| Nephrology Physician | 207RN0300X | G053658 | CA | Primary |
Addresses
Primary practice location
3350 La Jolla Village Drive
Vasdhs Department of Medicine 9151
San Diego, CA 92161
Mailing address
17305 Iron Mountain Dr
Poway, CA 92064-6322
Phone (858) 552-8585
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
- Nephrology
- Education
- University of California, San Diego School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000
4168 Front St
San Diego, CA 92103-2030
Phone (858) 657-7000
9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 657-7000
9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (858) 657-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53658 | CA | MD | General Practice Dentistry |
| G053658 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Nephrology | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
200 W Arbor Dr
#8201
San Diego, CA 92103
Phone (858) 534-6290
4168 Front St
San Diego, CA 92103
Phone (619) 471-0420
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Organizations & group practices 5
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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Emergency Medicine
-
- Nephrology Physician
- San Diego, CA
- NPI 1003934803
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1225052483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17305 IRON MOUNTAIN DR",
"city": "POWAY",
"state": "CA",
"postal_code": "920646322",
"telephone_number": "858-552-8585",
"fax_number": "858-642-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 LA JOLLA VILLAGE DRIVE",
"address_2": "VASDHS DEPARTMENT OF MEDICINE 9151",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92161",
"telephone_number": "858-552-7528",
"fax_number": "858-642-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "SCOTT",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G053658",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G053658",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G053658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.