E Scott Nielsen MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A44146 Issued in CA

Legal business name

E SCOTT NIELSEN MD PC

Doing business as

Corcoran Wellcare Medical Group

Practice address

1310 Hanna Ave
Suite 1
Corcoran, CA 93212-2314

Phone

(559) 992-0082

Fax

(559) 992-9873

NPI assigned

Feb 28, 2007

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ezra Scott Nielsen, M.D.NPI 1881789188

Title

Owner

Phone

(559) 992-0082

Specialties & licenses 1

Addresses

Other names 1

• CORCORAN WELLCARE MEDICAL GROUP Doing business as

Practitioners 1

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.

• Ezra Scott Nielsen, M.D.

  • Family Medicine Physician
  • Corcoran, CA
  • NPI 1881789188
  Authorized official Same address or phone

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1316075831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932120636",
            "telephone_number": "559-992-0082",
            "fax_number": "559-992-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HANNA AVE",
            "address_2": "SUITE 1",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122314",
            "telephone_number": "559-992-0082",
            "fax_number": "559-992-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E SCOTT NIELSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "EZRA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-992-0082",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORCORAN WELLCARE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daybreak Health
• Nicholas Preston Delacruz, DDS
• Aron Deutinger
• Tom Richard Dirkovich, RPH
• Ricki Leila Dooley, PH.D.
• Alexander Spencer Edwards, MSW
• Eliverto Elias I, LCSW
• Eminence Healthcare Services, LLC
• Eminence Healthcare Services, LLC
• Eminence Healthcare Services, LLC

• Family Medicine Physician in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.