Michael B. Scott, M.D., Inc.

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

G22694 Issued in CA

Legal business name

MICHAEL B. SCOTT, M.D., INC.

Practice address

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

Phone

(310) 537-9230

Fax

(310) 537-9022

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bertnice Scott, M.D.NPI 1609963750

Title

Owner

Phone

(310) 537-9230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 1

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

• Michael Bertnice Scott, M.D.

  • Pediatric Urology Physician
  • Lynwood, CA
  • NPI 1609963750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1629246756",
    "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": {
        "organization_name": "MICHAEL B. SCOTT, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BERTNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-537-9230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "G22694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Cristina Mendoza, DENTAL ASSISTANT LIC
• Yvonne Mendoza
• Gabriela Merida
• Cecelyn Meza
• Michael Angel Jimenez, MD, Inc.
• William Wade Middleton, LPT/PET CLINICIAN
• Dolores Jean Miguel, LCSW
• Carl Milburn
• Jaquenette Miller
• Jerome Miller

• 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 Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.