Organization Active NPI

Scott S. Ferer, M.D., a Medical Corporation

  • Neurology Physician
  • Costa Mesa, CA
National Provider Identifier
1720222631
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G75954 Issued in CA
Legal business name
SCOTT S. FERER, M.D., A MEDICAL CORPORATION
Practice address
2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone
(714) 258-0011
Fax
(714) 258-0154
NPI assigned
Apr 22, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mrs. Sandra S Hunnicutt
Title
Practice Consultant
Phone
(714) 258-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G75954 CA Primary

Addresses

Primary practice location

2216 Newport Blvd
Costa Mesa, CA 92627-1711

Mailing address

2216 Newport Blvd
Costa Mesa, CA 92627-1711
Phone (714) 258-0011

Other identifiers 1

IdentifierTypeStateIssuer
G75954OtherCACALIFORNIA STATE MEDICAL LICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1720222631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "714-258-0011",
            "fax_number": "714-258-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271711",
            "telephone_number": "714-258-0011",
            "fax_number": "714-258-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT S. FERER, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "HUNNICUTT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "714-258-0011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G75954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE MEDICAL LICENSE NUMBER",
            "identifier": "G75954",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.