Scott R. Blair, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

AMD-1119 Issued in HI

Practice address

599 Farrington Hwy BLDG 2
Kapolei, HI 96707-2028

Phone

(808) 676-5331

NPI assigned

Aug 7, 2017

Last updated

Feb 17, 2022By 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 HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Workstar Occupational Health Systems Inc

  • Occupational Medicine Physician
  • Kapolei, HI
  • NPI 1619989597
  Medicare reassignment

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1841715232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY BLDG 2",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-676-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY BLDG 2",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-676-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 E Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928651928",
            "country_code": "US",
            "telephone_number": "714-921-1546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Excise Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917618555",
            "country_code": "US",
            "telephone_number": "909-390-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12828 Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "92840",
            "country_code": "US",
            "telephone_number": "714-638-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SCOTT",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54903",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of California, Inc. (FMC Dialysis Services of Kapolei)
• Verna Jasmine Birch
• Michelle M.K. Birdsall, MSW, LCSW
• Dante Kaaihue Bishop
• Mason Bitter
• Blissful Therapy LLC
• Cheyenne Blough
• Annette Corpuz Blue, LMT
• Matthew B Bocaya
• Paige Bogner

• Physician Assistant in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.