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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Arroyo Grande, CA · Rheumatology Physician in California

Sources for this page

Verify at the official NPI Registry.