Organization Active NPI

Larry Scortt

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
National Provider Identifier
1477735801
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E26290 Issued in CA
Legal business name
LARRY SCORTT
Practice address
5066 N Fresno St Ste 101
Fresno, CA 93710-7615
Phone
(559) 206-5688
Fax
(559) 283-8440
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Larry D Scortt, DPM
Title
Owner
Phone
(559) 206-5688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E26290 CA Primary

Addresses

Primary practice location

5066 N Fresno St Ste 101
Fresno, CA 93710-7615

Mailing address

5066 N Fresno St Ste 101
Fresno, CA 93710-7615
Phone (559) 206-5688

Other identifiers 2

IdentifierTypeStateIssuer
000E26290MedicaidCA
480022521OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

5066 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 224-9078

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1477735801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5066 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107615",
            "telephone_number": "559-206-5688",
            "fax_number": "559-283-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5066 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107615",
            "telephone_number": "559-206-5688",
            "fax_number": "559-283-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY SCORTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "SCORTT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-206-5688",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E26290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E26290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480022521",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.