Individual provider Active NPI

Monica E Scott, RNIII

  • Ambulatory Care Registered Nurse
  • Wilmington, CA
National Provider Identifier
1609396191
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
691386 Issued in CA
Practice address
1325 Broad Ave
Wilmington, CA 90744-2604
Phone
(310) 404-2141
Fax
(310) 404-2166
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 691386 CA Primary

Addresses

Primary practice location

1325 Broad Ave
Wilmington, CA 90744-2604

Mailing address

1325 Broad Ave
Wilmington, CA 90744-2604

Other practice location 1

10005 Flower St
Bellflower, CA 90706-5412
Phone (562) 526-3000

Other names 1

  • Miss Monica Sparks Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
691386CAMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609396191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BROAD AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BROAD AVE",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442604",
            "telephone_number": "310-404-2141",
            "fax_number": "310-404-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10005 Flower St",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065412",
            "country_code": "US",
            "telephone_number": "562-526-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MONICA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RNIII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "691386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "SPARKS",
            "prefix": "MISS",
            "credential": "M,SCOTT RNIII",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.