Individual provider Active NPI

Courtney S. Scott, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Inglewood, CA
National Provider Identifier
1699906750
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
25MA12082900 Issued in NJ
Practice address
233 N Prairie Ave
Inglewood, CA 90301-1412
Phone
(310) 673-6581
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A108390 CA
Internal Medicine Physician 207R00000X A108390 CA
Internal Medicine Physician 207R00000X 25MA12082900 NJ
Addiction Medicine (Internal Medicine) Physician 207RA0401X A108390 CA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MA12082900 NJ Primary

Addresses

Primary practice location

233 N Prairie Ave
Inglewood, CA 90301-1412

Mailing address

233 N Prairie Ave
Inglewood, CA 90301-1412
Phone (310) 673-6581

Other practice location 1

200 Independence Blvd
Sicklerville, NJ 08081-1092
Phone (310) 622-3300

Other identifiers 11

IdentifierTypeStateIssuer
25MA12082900OtherNJSTATE MEDICAL LICENSE
59011OtherKYSTATE MEDICAL LICENSE
1014821OtherMASTATE MEDICAL LICENSE
3171051OtherIDSTATE MEDICAL LICENSE
35149408OtherOHSTATE MEDICAL LICENSE
33396OtherWVSTATE MEDICAL LICENSE
70374OtherTNSTATE MEDICAL LICENSE
A108390OtherCASTATE MEDICAL LICENSE
MD-23931-0OtherHISTATE MEDICAL LICENSE
MED-PHYS-LIC-153908OtherMTSTATE MEDICAL LICENSE
ME159046OtherFLSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091109000463 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 7618015819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Park Emergency Physicians IncGroup PAC ID 9638305204, 10 clinicians

Practice addresses (Care Compare)

2623 E Slauson Ave
Huntington Park, CA 90255-2926
Phone (323) 583-1931

Hospital & facility affiliations

  • Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108390CAMDMarriage & Family Therapist
25MA12082900NJMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Medical Services, Professional Corporation Current Accepting new patients
East la Emergency Physicians, Inc. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Courtney S, Scott, MD, a Professional Association Addiction Medicine Current Accepting new patients

Locations

4060 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 224-2040

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1699906750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011412",
            "telephone_number": "310-673-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011412",
            "telephone_number": "310-673-6581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Independence Blvd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080811092",
            "country_code": "US",
            "telephone_number": "310-622-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "COURTNEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A108390",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108390",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12082900",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A108390",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA12082900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "25MA12082900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "59011",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "1014821",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "3171051",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "35149408",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "33396",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "70374",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A108390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD-23931-0",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MED-PHYS-LIC-153908",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME159046",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.