Michael Bertnice Scott, M.D.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

G22694 Issued in CA

Practice address

3637 Martin Luther King Jr Blvd
Suite B
Lynwood, CA 90262-3511

Phone

(310) 537-9230

Fax

(310) 537-9022

NPI assigned

Oct 9, 2006

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Urology

Education

Northwestern University Feinberg Medical School, 1971

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAJBAA
• FHIR API: https://fhir4.healow.com/fhir/r4/IAJBAA/Endpoint/IAJBAA

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.

• Michael B. Scott, M.D., Inc.

  • Pediatric Urology Physician
  • Lynwood, CA
  • NPI 1629246756
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services - St Francis LLC

  dba St Francis Medical Center

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1114547114
  Care Compare affiliation

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1609963750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE B",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623511",
            "telephone_number": "310-537-9230",
            "fax_number": "310-537-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE B",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623511",
            "telephone_number": "310-537-9230",
            "fax_number": "310-537-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MICHAEL",
        "middle_name": "BERTNICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "G22694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G226940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Schoenberg
• Scla Comprehensive Surgical Medical Group, Inc.
• Helen L Scott-Gibson, PA
• Andria Jeh'Shammah Scott
• Katherine Scott
• Hernan Sebastian, OTR/L
• Maggie Janet Sebastian
• Niran Seby, M.D
• See Three Industries (AccessAble)
• See Three Industries (AccessAble)

• Pediatric Urology Physician in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Pediatric Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.