Individual provider Active NPI

Jo Ann M Scott, D.C.

  • Chiropractor
  • Laguna Niguel, CA
National Provider Identifier
1245251818
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21541 Issued in CA
Practice address
30100 Crown Valley Pkwy Ste 16
Laguna Niguel, CA 92677-2041
Phone
(949) 249-2720
Fax
(924) 249-1846
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21541 CA Primary

Addresses

Primary practice location

30100 Crown Valley Pkwy Ste 16
Laguna Niguel, CA 92677-2041

Mailing address

30100 Crown Valley Pkwy Ste 16
Laguna Niguel, CA 92677-2041
Phone (949) 249-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000416 CA Practitioner - Chiropractic 1456411545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC21541CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Healing Chiropractic Mousavi Inc Chiropractor PastSince Nov 10, 2008 Accepting new patients

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1245251818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 16",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-249-2720",
            "fax_number": "924-249-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30100 CROWN VALLEY PKWY STE 16",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772041",
            "telephone_number": "949-249-2720",
            "fax_number": "924-249-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JO ANN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.