Individual provider Active NPI

Daniel J. Scotti, M.D.

  • Internal Medicine Physician
  • Vacaville, CA
National Provider Identifier
1760636914
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G28809 Issued in CA
Practice address
459 Meadowview Dr
Vacaville, CA 95688-4220
Phone
(707) 455-0302
Fax
(205) 449-5231
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G28809 CA Primary

Addresses

Primary practice location

459 Meadowview Dr
Vacaville, CA 95688-4220

Mailing address

459 Meadowview Dr
Vacaville, CA 95688-4220
Phone (707) 455-0302

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G28809CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1760636914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MEADOWVIEW DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884220",
            "telephone_number": "707-455-0302",
            "fax_number": "205-449-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MEADOWVIEW DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884220",
            "telephone_number": "707-455-0302",
            "fax_number": "205-449-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTI",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G28809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.