Arthritis Medical Center of the Central Coast a Medical Corporation
Organization Active NPI Rheumatology Physician · Arroyo Grande, CA
NPI 1477571370 · NPPES record last updated May 7, 2010
Key facts
- NPI
- 1477571370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 20A7253 (CA)
- Legal business name
- ARTHRITIS MEDICAL CENTER OF THE CENTRAL COAST A MEDICAL CORPORATION
- Practice address
- 860 Oak Park Blvd
Ste 204
Arroyo Grande, CA 93420-1800 - Phone
- (805) 473-4001
- Fax
- (714) 590-6489
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Frank Eugene Scott Jr., D.O.
- Title
- President
- Phone
- (805) 473-4001
Practitioners 1
-
Frank Eugene Scott Jr., D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090205000653 | CA | Part B Supplier - Clinic/Group Practice | 5890859854 |
Receives reassigned benefits from 1 practitioner Practice locations: Nipomo, CA |
National Provider Directory
Locations
860 Oak Park Blvd
Ste 204
Arroyo Grande, CA 93420
Phone (805) 473-4001
671 W Tefft St
Ste 13
Nipomo, CA 93444
Phone (805) 473-4001
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | 20A7253 | CA | Yes |
Addresses
Primary practice location
860 Oak Park Blvd
Ste 204
Arroyo Grande, CA 93420-1800
Mailing address
860 Oak Park Blvd
Ste 204
Arroyo Grande, CA 93420-1800
Phone (805) 473-4001
Other providers in Arroyo Grande, CA
- Arroyo Grande Physical Therapy
- Arroyo Grande Physical Therapy, Inc
- Arroyo Grande Surgical Institute, LLC
- Arroyo Inpatient Physicians Inc
- Gerald Thomas Arseneau
- D'Ann Arthur
- William Ashley
- Teresa Renee Austin
- Kristin Ewing Bahner
- William Thomas Baird Jr.
All providers in Arroyo Grande, CA · Rheumatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.