Active NPI
Scott Nygard, O.D.
- Optometrist
- Citrus Heights, CA
National Provider Identifier
1265434286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA5918T
- Practice address
- 7325 Greenback LN
Citrus Heights, CA 95621-5530 - Phone
- (916) 969-2424
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA5918T | CA | Primary |
Addresses
Primary practice location
7325 Greenback LN
Citrus Heights, CA 95621-5530
Mailing address
7325 Greenback LN
Citrus Heights, CA 95621-5530
Phone (916) 969-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0059180 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA5918T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1265434286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7325 GREENBACK LN",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956215530",
"telephone_number": "916-969-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7325 GREENBACK LN",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956215530",
"telephone_number": "916-969-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYGARD",
"first_name": "SCOTT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA5918T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0059180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.