Active NPI
Scott E. Adams, DPM Inc
- Foot & Ankle Surgery Podiatrist
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3834
- Legal business name
- SCOTT E. ADAMS, DPM INC
- Practice address
- 862 Meinecke Ave
Suite 204
San Luis Obispo, CA 93405-1721 - Phone
- (805) 543-1509
- Fax
- (805) 543-1513
- NPI assigned
- Jun 2, 2015
- Last updated
- Jun 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott E Adams, DPM
- Title
- Owner
- Phone
- (805) 481-0881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3834 | CA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | E3834 | CA |
Addresses
Primary practice location
862 Meinecke Ave
Suite 204
San Luis Obispo, CA 93405-1721
Mailing address
862 Meinecke Ave
Suite 204
San Luis Obispo, CA 93405-1721
Phone (805) 543-1509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WE2834C | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
862 Meinecke Ave
Ste 204
San Luis Obispo, CA 93405
Phone (805) 540-5770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Arroyo Grande, CA
- NPI 1609860709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1497135800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 MEINECKE AVE",
"address_2": "SUITE 204",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051721",
"telephone_number": "805-543-1509",
"fax_number": "805-543-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 MEINECKE AVE",
"address_2": "SUITE 204",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934051721",
"telephone_number": "805-543-1509",
"fax_number": "805-543-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT E. ADAMS, DPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-03",
"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": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3834",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "E3834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WE2834C",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.