Scott Logan Brown, MD, a Professional Corp

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G85788 Issued in CA

Legal business name

SCOTT LOGAN BROWN, MD, A PROFESSIONAL CORP

Doing business as

San Diego Urology Associates

Practice address

8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191

Phone

(619) 828-1000

Fax

(619) 828-1001

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Logan Brown, MDNPI 1477592681

Title

Owner

Phone

(619) 828-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• San Diego Urology Associates Doing business as
• Scott Logan Brown,MD, a professional corp Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Scott Logan Brown, M.D.

  • Urology Physician
  • La Mesa, CA
  • NPI 1477592681
  Medicare reassignment Care Compare group Authorized official
• Carrie Aisen, M.D.

  • Urology Physician
  • La Mesa, CA
  • NPI 1245673334
  Medicare reassignment Care Compare group NPD
• Carter Mikesell, MD

  • Urology Physician
  • La Mesa, CA
  • NPI 1609371327
  Medicare reassignment Care Compare group NPD
• Cameron W Wilson, MD

  • Urology Physician
  • La Mesa, CA
  • NPI 1770780157
  Medicare reassignment Care Compare group NPD
• Michael Andrew Ahdoot, M.D.

  • Urology Physician
  • Los Angeles, CA
  • NPI 1255775912
  Medicare reassignment NPD
• Alan Cleveland Aikens, MD

  • Urology Physician
  • Bakersfield, CA
  • NPI 1396996245
  Medicare reassignment NPD
• Julie Sothary Van Restis, MPH, RN, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1245748672
  Medicare reassignment NPD
• Claudia Sevilla, M.D.

  • Urology Physician
  • Chula Vista, CA
  • NPI 1689081275
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1598858896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT LOGAN BROWN, MD, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-828-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G85788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scott Logan Brown,MD, a professional corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin Schulz, DPT
• Andee M Schuur, MA
• Lauren Schwettmann, PA-C
• Ivan Scolari
• Scott a Recksiedler DMD a Dental Corporation (San Diego Prosthodontics)
• Marie Claire Scott, PHARM.D.
• Scripps Clinic Medical Group
• SD Health Holdings
• SD Xray LLC (Sdxray)
• Jessica Searle, CPM/ LM

• Urology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.