Scott Deangelis, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

8260 Issued in CA

Practice address

3418 Loma Vista Rd
Ventura, CA 93003-3016

Phone

(805) 765-4773

Fax

(805) 392-9975

NPI assigned

Apr 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1639532773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 BANCROFT ST",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930104508",
            "telephone_number": "310-402-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-765-4773",
            "fax_number": "805-392-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "SCOTT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "8260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome De Vera, DO
• Leslie De Vera, PMHNP
• Caroline De Witte
• Dean W. Smith, MD., a Medical Corporation
• Kimberle Rusk Deanda, MA, MFT, BCBA
• James Ray Deardorff, O.D.
• Natalie Debbas, PPS
• Debon Crews, Optometric Corporation
• Jaime Leigh Debone
• Amy Deborba, PT, DPT

• Specialist in Ventura, CA
• Providers in Ventura, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.