Active NPI
Scott Lyman Shreeve, MD
- Emergency Medicine Physician
- Aliso Viejo, CA
National Provider Identifier
1891832051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A74386
- Practice address
- 58 Groveside Dr
Aliso Viejo, CA 92656-7069 - Phone
- (194) 923-5937
- NPI assigned
- Jan 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A74386 | CA | Primary |
| Primary Care Clinic/Center | 261QP2300X | A74386 | CA |
Addresses
Primary practice location
58 Groveside Dr
Aliso Viejo, CA 92656-7069
Mailing address
58 Groveside Dr
Aliso Viejo, CA 92656-7069
Phone (194) 923-5937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74386 | CA | MD | Primary Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1891832051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 GROVESIDE DR",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926567069",
"telephone_number": "194-923-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 GROVESIDE DR",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926567069",
"telephone_number": "194-923-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREEVE",
"first_name": "SCOTT",
"middle_name": "LYMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A74386",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A74386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.