Active NPI
James Scott McDonald, MD
- Anesthesiology Physician
- Riverside, CA
National Provider Identifier
1558406330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G63265
- Practice address
- 6969 Brockton Ave
Suite B
Riverside, CA 92506-3813 - Phone
- (951) 686-3575
- Fax
- (951) 781-2194
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G63265 | CA | Primary |
Addresses
Primary practice location
6969 Brockton Ave
Suite B
Riverside, CA 92506-3813
Mailing address
6969 Brockton Ave
Suite B
Riverside, CA 92506
Phone (951) 686-3575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G632650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558406330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6969 BROCKTON AVE",
"address_2": "SUITE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92506",
"telephone_number": "951-686-3575",
"fax_number": "951-781-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6969 BROCKTON AVE",
"address_2": "SUITE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063813",
"telephone_number": "951-686-3575",
"fax_number": "951-781-2194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JAMES",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G63265",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G632650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.