Scott Alfred Hundahl, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

G86699 Issued in CA

Practice address

Sacramento VA Medical Center - Chief of Surgery
10535 Hospital Way, Smat-112
Mather, CA 95655-1200

Phone

(916) 843-7174

Fax

(916) 366-5328

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1467438952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY # 112",
            "address_2": "PROFESSOR AND CHIEF OF SURGERY - VA NORTHERN CALIFORNIA",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-843-7174",
            "fax_number": "916-366-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SACRAMENTO VA MEDICAL CENTER - CHIEF OF SURGERY",
            "address_2": "10535 HOSPITAL WAY, SMAT-112",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956551200",
            "telephone_number": "916-843-7174",
            "fax_number": "916-366-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDAHL",
        "first_name": "SCOTT",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G86699",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "HI",
            "license": "MD-5132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Howell
• Sophia Hazel Hox, D.O.
• James Spencer Hoyt, M.D.
• Jonathan Alexander Hughes, M.D.
• Darina Hul, BASW, MSW
• Tori Dawn Hunley, RN
• Dinithi Ketagoda Iddawela, M.D.
• Jaela Kalani Ilagan-Evangelista, PHARMD
• Peggy J Intagliata
• Bushra Khan Islam, RDN

• Surgical Oncology Physician in Mather, CA
• Providers in Mather, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.