NPIMap

Individual provider Active NPI

Scott Thomas Landeck, MD

  • Emergency Medicine Physician
  • Oakland, CA
National Provider Identifier
1790733269
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G84442 Issued in CA
Practice address
2107 Livingston St Ste a
Oakland, CA 94606-5218
Phone
(510) 436-9013
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G84442 CA Primary

Addresses

Primary practice location

2107 Livingston St Ste a
Oakland, CA 94606-5218

Mailing address

30 Bayview Rd
Kentfield, CA 94904-2617
Phone (415) 819-6129

Other identifiers 1

IdentifierTypeStateIssuer
00G844420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040513000609 CA Practitioner - Emergency Medicine 9830091578 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Plumas Health Care DistrictGroup PAC ID 4587576889, 31 clinicians

Practice addresses (Care Compare)

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

500 1St Ave
Portola, CA 96122-9406

Hospital & facility affiliations

  • Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
  • Eastern Plumas Hospital - Portola Campus Nursing home, CCN 05Z300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Eastern Plumas Health Care Home Health CurrentSince Jan 1, 2022 Accepting new patients
Eastern Plumas Health Care District CurrentSince Jan 1, 2022 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Nov 22, 2009 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 1, 2013 Accepting new patients
Vallejo Emergency Physicians Medical Group Inc. Emergency Medicine Past Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine PastSince Jan 22, 2023 Accepting new patients

Locations

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1790733269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BAYVIEW RD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042617",
            "telephone_number": "415-819-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 LIVINGSTON ST STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065218",
            "telephone_number": "510-436-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDECK",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G84442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G844420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.