Active NPI
Derrick Scott, C.D.R.S.
- Driver
- Oakland, CA
National Provider Identifier
1700202843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- N6309804
- Practice address
- 1904 Franklin St
Suite 330
Oakland, CA 94612-2912 - Phone
- (510) 444-8900
- Fax
- (415) 267-6118
- NPI assigned
- Mar 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | N6309804 | CA | Primary |
Addresses
Primary practice location
1904 Franklin St
Suite 330
Oakland, CA 94612-2912
Mailing address
2039 21St Avenue
San Francisco, CA 94116-1208
Phone (415) 336-8916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N6309804 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1700202843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 21ST AVENUE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161208",
"telephone_number": "415-336-8916",
"fax_number": "415-267-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 FRANKLIN ST",
"address_2": "SUITE 330",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122912",
"telephone_number": "510-444-8900",
"fax_number": "415-267-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "DERRICK",
"credential": "C.D.R.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-13",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "N6309804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.