Peter David Scott, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31309 Issued in NE

Practice address

338 S Dakota Ave BLDG 13850
Vandenberg AFB, CA 93437-6307

Phone

(503) 606-9811

NPI assigned

Aug 10, 2015

Last updated

May 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Oregon Health Sciences University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Okerblom Voegele and Hole MD a Professional CorporationGroup PAC ID 3577586031, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Health Home Health Home health agency, Santa Maria, CA, CCN 557038
• Superior Home Health Home health agency, Lompoc, CA, CCN 559004
• Central Coast Home Health Inc Home health agency, San Luis Obispo, CA, CCN 059010
• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Okerblom Voegele and Hole MD a Professional Corporation

  • Family Medicine Physician
  • Santa Maria, CA
  • NPI 1477644797
  Medicare reassignment Care Compare group NPD
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)

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

• Central Coast Home Health Inc

  • Home Health Agency
  • San Luis Obispo, CA
  • NPI 1609044924
  Care Compare affiliation
• Dignity Community Care

  dba French Hospital Medical Center

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  dba Dignity Health Home Health

  • Home Health Agency
  • Santa Maria, CA
  • NPI 1225184963
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Iaatk Inc

  dba Superior Home Healh

  • Home Health Agency
  • Lompoc, CA
  • NPI 1750834719
  Care Compare affiliation

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1831575018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE BLDG 13850",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "503-606-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE BLDG 13850",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "503-606-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 E Stowell Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934547010",
            "country_code": "US",
            "telephone_number": "805-934-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "31309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Sue Reed, RD, CDE
• Peter Daniel Reinhardt
• Catherine Roland, PHD, CPNP
• Brice Rosby, PHYSICAL THERAPIST
• Anderson Rowan, PHD
• Tamara Sibala, BSN, RN, PHN, CPN
• Christopher Jason Smith, D.D.S.
• Dwayne Smoot Jr., MSW
• Jordan Lynn Sullivan, RN
• Nicole Tatick

• Family Medicine Physician in Vandenberg AFB, CA
• Providers in Vandenberg AFB, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.