George C Scott MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G55402 Issued in CA

Legal business name

GEORGE C SCOTT MD

Practice address

1191 E Yosemite Ave
Ste C
Manteca, CA 95336-5011

Phone

(209) 239-4100

Fax

(209) 239-4110

NPI assigned

Apr 11, 2010

Organization subpart

No

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

Authorized official

Name

George C Scott, MDNPI 1942288873

Title

Owner

Phone

(415) 302-2506

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• George C Scott, MD

  • Obstetrics & Gynecology Physician
  • Manteca, CA
  • NPI 1942288873
  NPD Authorized official

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1396061776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 E YOSEMITE AVE",
            "address_2": "STE C",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365011",
            "telephone_number": "209-239-4100",
            "fax_number": "209-239-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E YOSEMITE AVE",
            "address_2": "STE C",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365011",
            "telephone_number": "209-239-4100",
            "fax_number": "209-239-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE C SCOTT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-11",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-302-2506",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G55402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176339",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G554020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS, L.L.C. (CVS Pharmacy # 05403)
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• Gary S Lowe DC a Chiropractic Corp
• Anna Gavin
• Daniel E. Gavino, MD
• Ziaya Diamond Georgio
• Veronica Gerhart
• Mysa Ghareeb
• Saeed Gholami, MD
• Gill Pharmacy Inc (Lathrop Pharmacy)

• Medical Specialty Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.