Individual provider Active NPI

Scott Curtis Rackett, M.D.

  • Dermatology Physician
  • Manhattan Beach, CA
National Provider Identifier
1235230368
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G83929 Issued in CA
Practice address
2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727
Phone
(310) 802-8280
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G83929 CA Primary

Addresses

Primary practice location

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727

Mailing address

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727
Phone (310) 802-8280

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000168 CA Practitioner - Dermatology 6709985526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott C Rackett M D IncGroup PAC ID 8123127958, 2 clinicians

Practice addresses (Care Compare)

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266-2727
Phone (310) 802-8180

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision118
Removal of skin lesions1857
Removal or shaving of skin growth21
Skin biopsy599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83929CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott C Rackett M D Inc Dermatology CurrentSince May 1, 2007 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

2809 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (213) 550-5600

Interoperability endpoints

  • Direct secure messaging: scott@manhattanbeach.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1235230368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662727",
            "telephone_number": "310-802-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662727",
            "telephone_number": "310-802-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKETT",
        "first_name": "SCOTT",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G83929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.