Scotts Valley Veterinary Clinic, Inc.

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

VET6932 Issued in CA

Legal business name

SCOTTS VALLEY VETERINARY CLINIC, INC.

Practice address

4257 Scotts Valley Dr
Scotts Valley, CA 95066-4521

Phone

(831) 438-2600

Fax

(831) 438-0169

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Robert Miller Jr., D.V.M.

Title

Ceo

Phone

(831) 438-2600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1790027498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 SCOTTS VALLEY DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664521",
            "telephone_number": "831-438-2600",
            "fax_number": "831-438-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 SCOTTS VALLEY DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664521",
            "telephone_number": "831-438-2600",
            "fax_number": "831-438-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS VALLEY VETERINARY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-438-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.V.M."
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "VET6932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah J. Kim Professional Corporation, Inc.
• Bianca Schmidt, L.AC.
• Rebecca Lynne Schultheis, LMFT
• Scotts Valley Counseling Center
• Scotts Valley Unified School District
• Emma Severson
• Jenna Shapiro
• Tiffiny Shellese Shay, A.T.,C., P.T.A.
• Shuang Shi, DMD
• Bryan Shoemaker

• Veterinarian in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Veterinarian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.