Zondree Arquetta Scott, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11977 Issued in CA

Practice address

12565 Hesperia Rd
Suite 1
Victorville, CA 92395-8318

Phone

(760) 881-3377

Fax

(760) 881-3379

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Choice Healthcare Associates, Inc.

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1194964361
  Medicare reassignment
• Oasis Dermatology, Inc

  • Dermatology Physician
  • Victorville, CA
  • NPI 1043090582
  Medicare reassignment
• Kenneth Grier MD Inc

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1972109551
  NPD (past)

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1386913531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10382 SHAHAPTAIN AVE",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457703",
            "telephone_number": "760-947-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 HESPERIA RD",
            "address_2": "SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958318",
            "telephone_number": "760-881-3377",
            "fax_number": "760-881-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ZONDREE",
        "middle_name": "ARQUETTA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnie Scott
• Kennya Scott
• Sonya Scott
• Valerie Scott, AOD COUNSELOR
• Zazette Scott
• Jamila Sears
• Lorena Sedano
• Ramy Rafik Riad Youssef Sedhom, MD
• Maria G Segura Alegria
• Clarissa Segura

• Physician Assistant in Victorville, CA
• Providers in Victorville, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.