Scott Roquemore, ATC, EMT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2000011868 Issued in CA

Practice address

25621 Purple Sage LN
San Juan Capistrano, CA 92675-4322

Phone

(949) 636-6872

NPI assigned

Sep 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1750839080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25621 PURPLE SAGE LN",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754322",
            "telephone_number": "949-636-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25621 PURPLE SAGE LN",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754322",
            "telephone_number": "949-636-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUEMORE",
        "first_name": "SCOTT",
        "credential": "ATC, EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "2000011868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dumpit Rodriguez
• Lauren Marie Rodriguez, PA-C
• Stacy Roeck
• Roger C. Sohn, MD, Inc.
• Cristina Carolina Romero de Montero, MD
• Ross Medical Associates San Juan
• Micki Linda Ross, LCSW
• Christian Emmett Roth
• Michael Anthony Rovzar, M.D.
• Leslie Rowan, MA, MFTI

• Student in an Organized Health Care Education/Training Program in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.