Organization Active NPI

Scott E. Adams, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
National Provider Identifier
1245609270
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3834 Issued in CA
Legal business name
SCOTT E. ADAMS, DPM, INC.
Practice address
2342 Professional Pkwy
Suite 100
Santa Maria, CA 93455-1630
Phone
(805) 928-5645
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Scott E Adams, MDNPI 1609860709
Title
Owner
Phone
(805) 481-0881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E3834 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
Suite 100
Santa Maria, CA 93455-1630

Mailing address

310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3872
Phone (805) 481-0881

Other identifiers 1

IdentifierTypeStateIssuer
GRE001760MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120001641 CA DME Supplier - Physician - Podiatry 3577577733 Practice locations: Santa Maria, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Scott E Adams DPM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2342 Professional Pkwy
Ste 100
Santa Maria, CA 93455
Phone (805) 928-5645

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1245609270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 100",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-928-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E. ADAMS, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-481-0881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.