Scott Thomas Pestotnik, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

47396 Issued in CA

Practice address

1835 Newport Blvd # C
Costa Mesa, CA 92627-5031

Phone

(949) 722-1750

NPI assigned

May 15, 2017

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Costa Mesa, CA
  • NPI 1851335103
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1891222485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD # C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275031",
            "telephone_number": "949-722-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 NEWPORT BLVD # C",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275031",
            "telephone_number": "949-722-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTOTNIK",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nicole Perusse, ACSW
• Lea Michelle Peruzzi, LMFT
• Ashika Pese
• Jan Phillip Pesigan, M.A.
• David Pesonen
• Tonya Lynn Peters-Kammeraad, L.C.S.W., NCPSYA
• Stacy Anne Petersen, FNP-C
• Susan Petersen, M.P.T
• Corey Peterson, DC
• Emily Pettis, APRN

• Pharmacist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.