Scott Riise, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

MD065261L Issued in PA

Practice address

101 Bodin Cir
60TH Mdos/Sgol
Travis Afb, CA 94535-1809

Phone

(707) 423-7372

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770570723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 PUFFIN CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945338913",
            "telephone_number": "850-499-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "60TH MDOS/SGOL",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIISE",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD065261L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Beldon Reynolds, DDS
• Kevin W. Rich, D.O.
• Cherie-Ann Richards, M.D.
• Devon Ali Richardson, MD
• Janine Crantz Richardson, D.O.
• Abigail Rivera
• Kory Rivera, IDMT
• Jennifer Maria Rizzoli, M.D.
• Hunter Roberts, MD
• Andrew Yuri Robinson, MD

• Sports Medicine (Family Medicine) Physician in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.