Active NPI
Scott Aarnes Swanson, OD
- Optometrist
- Cerritos, CA
National Provider Identifier
1871626184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7365
- Practice address
- 12701 Towne Center Dr
Cerritos, CA 90703-8545 - Phone
- (562) 809-2517
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7365 | CA | Primary |
Addresses
Primary practice location
12701 Towne Center Dr
Cerritos, CA 90703-8545
Mailing address
9062 Rhodesia Dr
Huntington Beach, CA 92646-7848
Phone (714) 962-2269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0073650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814003571 | CA | Practitioner - Optometry | 5890233449 | Practice locations: Palm Springs, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871626184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9062 RHODESIA DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926467848",
"telephone_number": "714-962-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12701 TOWNE CENTER DR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907038545",
"telephone_number": "562-809-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "SCOTT",
"middle_name": "AARNES",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0073650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
- Christina Santillan Sumabat, RN
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- Susie Kim DDS, Inc (Cerritos Dentistry)
- Alana Swift, NP
- Blanca Francis Swift, SUBSTANCE ABUSE COUN
- Sharon Nikole Swing
- Rukiya Symister
- Ta-Wei Huang DDS, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.