Scott Semba

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

31529 Issued in CA

Practice address

151 Bodin Cir
60TH Dental Squadron (AMC)
Travis Afb, CA 94535-1801

Phone

(707) 423-7025

NPI assigned

Nov 18, 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

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841272374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 CAMELLIA CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BODIN CIR",
            "address_2": "60TH DENTAL SQUADRON (AMC)",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-423-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMBA",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "31529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Andrew Schultz-Ross, M.D.
• Christopher Schwartz, O.D.
• Hannah Olivia Scott, MD
• Sheila Scott
• Nicholas Ryan Scrivens, DO
• Jamie Jatin Shah, DO
• Samir I. Shahin, IDMT
• Patrick Aaron Shea, M.D.
• Heidi Lynn Shelstad, PA-C
• Angela Shen, MD

• Periodontics in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Periodontics 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.