Individual provider Active NPI

Scott Blatt, D.C.

  • Sports Physician Chiropractor
  • Westlake Village, CA
National Provider Identifier
1801933635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC22597 Issued in CA
Practice address
4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837
Phone
(805) 371-9116
Fax
(805) 371-9757
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC22597 CA Primary

Addresses

Primary practice location

4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837

Mailing address

4165 E Thousand Oaks Blvd Ste 150
Westlake Village, CA 91362-3837
Phone (805) 371-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001833 CA Practitioner - Chiropractic 6800871104 Receives reassigned benefits from 2 practitioners
Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4165 E Thousand Oaks Blvd
Suite 150
Westlake Village, CA 91362-3837
Phone (805) 371-9116

4165 Thousand Oaks Blvd
Suite 150
Westlake Village, CA 91362-3837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22597CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Body Logic Chiropractic PastSince Sep 1, 1993 Accepting new patients
Westlake Sports Physical Therapy Inc PastSince Jan 1, 2003 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801933635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623837",
            "telephone_number": "805-371-9116",
            "fax_number": "805-371-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623837",
            "telephone_number": "805-371-9116",
            "fax_number": "805-371-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC22597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.