Active NPI
Scott R. Inoue, D.C.
- Chiropractor
- Stockton, CA
National Provider Identifier
1902831704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 24979
- Practice address
- 333 San Carlos Way
Ste B
Stockton, CA 95207-2037 - Phone
- (209) 956-5122
- Fax
- (209) 956-3769
- NPI assigned
- Jul 11, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 24979 | CA | Primary |
Addresses
Primary practice location
333 San Carlos Way
Ste B
Stockton, CA 95207-2037
Mailing address
333 San Carlos Way
Ste B
Stockton, CA 95207-2037
Phone (209) 956-5122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101213000225 | CA | Practitioner - Chiropractic | 6709073042 | Practice locations: Stockton, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 San Carlos Way
Suite B
Stockton, CA 95207-2037
333 San Carlos Way B
Stockton, CA 95207-2037
Phone (209) 956-5122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24979 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1902831704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SAN CARLOS WAY",
"address_2": "STE B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072037",
"telephone_number": "209-956-5122",
"fax_number": "209-956-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SAN CARLOS WAY",
"address_2": "STE B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072037",
"telephone_number": "209-956-5122",
"fax_number": "209-956-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOUE",
"first_name": "SCOTT",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "24979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
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- Innovative Senior Rehabilitation Services, Inc.
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- Intellicare Services LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.