Active NPI
Scott Allan Graham, MD
- Orthopaedic Surgery Physician
- Monterey, CA
National Provider Identifier
1700801313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23186
- Practice address
- 10 Harris CT BLDG a
Ste A1
Monterey, CA 93940-5704 - Phone
- (831) 643-9788
- Fax
- (831) 657-0161
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23186 | AZ | Primary |
Addresses
Primary practice location
10 Harris CT BLDG a
Ste A1
Monterey, CA 93940-5704
Mailing address
10 Harris CT BLDG a
Ste A1
Monterey, CA 93940-5704
Phone (831) 643-9788
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49708 | Other | AZ | EMPIRE BC |
| P00340986 | Other | AZ | MEDICARE RAILROAD |
| 187479 | Medicaid | AZ | |
| 4445600 | Other | AZ | CIGNA |
| AZ0442680 | Other | AZ | AZ BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Havasu Regional Medical Center, LLC | Past | Accepting new patients | |
| County of Monterey | Past | Accepting new patients | |
| Watsonville Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Seaside, CA
- NPI 1881645158
-
- General Acute Care Hospital
- Watsonville, CA
- NPI 1710958228
-
- Anesthesiology Physician
- Lake Havasu City, AZ
- NPI 1871671818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1700801313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HARRIS CT BLDG A",
"address_2": "STE A1",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405704",
"telephone_number": "831-643-9788",
"fax_number": "831-657-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HARRIS CT BLDG A",
"address_2": "STE A1",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405704",
"telephone_number": "831-643-9788",
"fax_number": "831-657-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SCOTT",
"middle_name": "ALLAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "23186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "49708",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00340986",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187479",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4445600",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BLUE CROSS/BLUE SHIELD",
"identifier": "AZ0442680",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.