Jon M Scott, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2OA5858 Issued in CA

Practice address

1150 Scott Blvd
Suite D1
Santa Clara, CA 95050-4547

Phone

(408) 246-9915

Fax

(408) 246-0187

NPI assigned

Oct 19, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Malcolm Medical Group

  • Sports Medicine (Family Medicine) Physician
  • Santa Clara, CA
  • NPI 1710203245
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1679655682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD",
            "address_2": "SUITE D1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-246-9915",
            "fax_number": "408-246-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SCOTT BLVD",
            "address_2": "SUITE D1",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504547",
            "telephone_number": "408-246-9915",
            "fax_number": "408-246-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Luisa Schweter, DC
• Scott Ngai, DDS, Inc.
• Angela Scott, LCSW
• Danielle Scott
• David G. Scott, MD, PHD
• Madeleine D Scott
• Scotthyver Visioncare
• Samantha A. Seaward, MD
• See Inc
• Angelina Marie Seffens, MD

• Family Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.