Individual provider Active NPI

William Scott Jr., D.O.

  • Family Medicine Physician
  • Oxnard, CA
National Provider Identifier
1528009594
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4200 Issued in CA
Practice address
1600 N Rose Ave
Oxnard, CA 93030-3722
Phone
(805) 988-2843
Fax
(805) 988-2844
NPI assigned
Jun 9, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20A4200 CA
Family Medicine Physician 207Q00000X 20A4200 CA Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 20A4200 CA

Addresses

Primary practice location

1600 N Rose Ave
Oxnard, CA 93030-3722

Mailing address

305 Durley Ave
Camarillo, CA 93010-9119
Phone (805) 987-0516

Other identifiers 1

IdentifierTypeStateIssuer
00AX42000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040423000665 CA Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Emergency Medicine 6103812136 Reassigns benefits to 3 organizations
I20100107000277 AL Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Emergency Medicine 6103812136 Reassigns benefits to 1 organization
I20150223000616 MO Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Preventive Medicine 6103812136 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A4200CAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
4200CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dennis Emergency Medical Group Inc Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Paragon Contracting Services LLC CurrentSince Aug 1, 2014 Accepting new patients
Montclair Emergency Medical Associates CurrentSince May 10, 2017 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Feb 1, 2015 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc CurrentSince Mar 7, 2018 Accepting new patients
West Road Emergency Physicians Past Accepting new patients
H Allen Hooper, M.D. a Professional Corporation Family Medicine Past Accepting new patients
North Alabama Emergency Physicians LLC Past Accepting new patients
H. Allen Hooper, M.D. a Professional Corporation Past Accepting new patients
Los Robles Emergency Physicians Medical Group PastSince Mar 12, 2023 Accepting new patients
Alteon Health Alabama, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Enchanted Desert Emergency Physicians LLC Family Medicine Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

Interoperability endpoints

  • Direct secure messaging: wscott75025@surescripts.sfmc.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1528009594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 DURLEY AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109119",
            "telephone_number": "805-987-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N ROSE AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303722",
            "telephone_number": "805-988-2843",
            "fax_number": "805-988-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "20A4200",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4200",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "20A4200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX42000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.