Scott R Nelson, D.O., FACEP

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

G3643 Issued in TX

Practice address

24361 El Toro Rd
Suite 120
Laguna Woods, CA 92637-2755

Phone

(949) 916-6321

Fax

(949) 916-6340

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Noman Medical Corporation

  • Urgent Care Clinic/Center
  • Costa Mesa, CA
  • NPI 1952697617

  CA

  Medicare reassignment NPD
• Tustin Urgent Care, Apc

  • Urgent Care Clinic/Center
  • Tustin, CA
  • NPI 1225407596

  CA

  Medicare reassignment NPD
• Panhandle Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1629020870

  Emergency Medicine

  NPD (past) Authorized official
• Tustin Urgent Care, Apc

  • Urgent Care Clinic/Center
  • Cypress, CA
  • NPI 1134889652
  NPD
• Tustin Urgent Care, Apc

  • Urgent Care Clinic/Center
  • Huntington Beach, CA
  • NPI 1427692086
  NPD
• Chavez Management, Inc

  • Physical Therapist
  • Laguna Woods, CA
  • NPI 1811989783
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1285696278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD",
            "address_2": "SUITE 120",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372755",
            "telephone_number": "949-916-6321",
            "fax_number": "949-916-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD",
            "address_2": "SUITE 120",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372755",
            "telephone_number": "949-916-6321",
            "fax_number": "949-916-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "D.O., FACEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G3643",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "G3643",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "G3643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136522311",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirstyn Namba
• Brandon Napoles, OT-C
• Nathan Rudometkin MD, Inc
• Susan J Nathan, PH.D.
• Nazee Farsi MD Apc
• Thuong-Thuong Nguyen, PHARM.D.
• Thuy Thanh Nguyen
• Thuy-Vy Hoang Nguyen, PHARMD
• Tony Nguyen, PA-C
• Nancy Nicolosi, NP-C

• Preventive Medicine/Occupational Environmental Medicine Physician in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.

Verify at the official NPI Registry.