Scott R Secondo

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

094700015 Issued in CA

Practice address

1166 Broadway Ste T
Placerville, CA 95667-5745

Phone

(530) 621-2273

Fax

(916) 436-4770

NPI assigned

Jan 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1235728668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 RUMSEY ST",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915264",
            "telephone_number": "916-295-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 BROADWAY STE T",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675745",
            "telephone_number": "530-621-2273",
            "fax_number": "916-436-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECONDO",
        "first_name": "SCOTT",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "094700015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Celese Scofield, D.C.
• Scott C Hale Doctor of Chiropractics a Professional Corp
• Seraiah Scranton-Setele, RN
• Joshua David Seastrand, DO
• Tammy Seaton
• John Paul Seilhan
• Thomas M Seivert, PA-C
• Serene Health Ipa
• Yevgeniy Serikov
• Katharine Adele Severson, FNP

• Home Health Aide in Placerville, CA
• Providers in Placerville, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.