Scott E Adams DPM Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

40580 Issued in CA

Legal business name

SCOTT E ADAMS DPM INC

Practice address

310 S Halcyon Rd
Suite 101
Arroyo Grande, CA 93420-3872

Phone

(805) 481-0881

Fax

(805) 481-0835

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Scott E. Adams, D.P.M.NPI 1609860709

Title

Owner

Phone

(805) 481-0881

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Scott E. Adams, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1245609270

  3577577733

  Same PAC ID

Tax ID family

Scott E Adams DPM Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scott E. Adams, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1245609270
  NPD tax ID

Locations

Practitioners 4

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

• Scott E Adams, DPM

  • Podiatrist
  • Arroyo Grande, CA
  • NPI 1609860709
  Medicare reassignment Care Compare group Authorized official
• Nathan B Ecklund, DPM

  • Foot & Ankle Surgery Podiatrist
  • Arroyo Grande, CA
  • NPI 1831225549
  Medicare reassignment Care Compare group NPD
• Nickolas Peter Grimes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Arroyo Grande, CA
  • NPI 1013594308
  Medicare reassignment Care Compare group NPD
• Laura Walker, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
  • NPI 1437561537
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1487648697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HALCYON RD",
            "address_2": "SUITE 101",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203872",
            "telephone_number": "805-481-0881",
            "fax_number": "805-481-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E ADAMS DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-481-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "40580",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0600250001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRIOAD MEDICARE",
            "identifier": "DG7094",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ50260Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Scalzo
• Karin Wells Schiller, MD
• Eden Schmoll
• Joel Schwartz, PSYD
• Jill Scorby, PPS
• Suzanne Adele Sealey, MPT
• Melissa M Sears
• Alexandra Seastrunk, LMFT
• Colleen Ann Sebastian, MC, LMFT
• Kayla Lee Sejera-Wagner, RDHAP

• Podiatrist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.