Individual provider Active NPI

Scott Evan Powell, M.D.

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1730225665
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G73757 Issued in CA
Practice address
2021 Santa Monica Blvd.
Suite 408
Santa Monica, CA 90404
Phone
(818) 570-5000
Fax
(310) 829-9015
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G73757 CA Primary

Addresses

Primary practice location

2021 Santa Monica Blvd.
Suite 408
Santa Monica, CA 90404

Mailing address

2021 Santa Monica Blvd.
Suite 408
Santa Monica, CA 90404
Phone (818) 570-5000

Other practice location 1

2701 W Alameda Ave Ste 200
Burbank, CA 91505-4406
Phone (818) 570-5000

Other identifiers 1

IdentifierTypeStateIssuer
G73757OtherCALICENSE

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
I20051216000751 CA Practitioner - Orthopedic Surgery 7719908730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2021 Santa Monica Blvd
Suite 408E
Santa Monica, CA 90404-2144
Phone (818) 570-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Palisades Surgery Center and Medical Group Inc Current Accepting new patients
Scott E Powell MD, Apc CurrentSince Oct 1, 2005 Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

2701 W Alameda Ave
Ste 200
Burbank, CA 91505
Phone (818) 843-1700

191 S Buena Vista St
Ste 470
Burbank, CA 91505
Phone (818) 848-3030

2021 Santa Monica Blvd
Ste 408E
Santa Monica, CA 90404
Phone (310) 829-9060

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1730225665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD.",
            "address_2": "SUITE 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "818-570-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SANTA MONICA BLVD.",
            "address_2": "SUITE 408",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "818-570-5000",
            "fax_number": "310-829-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 W Alameda Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915054406",
            "country_code": "US",
            "telephone_number": "818-570-5000",
            "fax_number": "818-796-2014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SCOTT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-11-30",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G73757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G73757",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.