Individual provider Active NPI

Scott Kevin McClatchey, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • San Diego, CA
National Provider Identifier
1932189164
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
G89322 Issued in CA
Practice address
34520 Bob Wilson Dr
Navy Medical Center, Ophthalmology Suite 202
San Diego, CA 92134-2098
Phone
(619) 532-6700
Fax
(619) 532-7272
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X G89322 CA Primary

Addresses

Primary practice location

34520 Bob Wilson Dr
Navy Medical Center, Ophthalmology Suite 202
San Diego, CA 92134-2098

Mailing address

34520 Bob Wilson Dr
Navy Medical Center, Ophthalmology Suite 202
San Diego, CA 92134-2098
Phone (619) 532-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G89322CAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1932189164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34520 BOB WILSON DR",
            "address_2": "NAVY MEDICAL CENTER, OPHTHALMOLOGY SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342098",
            "telephone_number": "619-532-6700",
            "fax_number": "619-532-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34520 BOB WILSON DR",
            "address_2": "NAVY MEDICAL CENTER, OPHTHALMOLOGY SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342098",
            "telephone_number": "619-532-6700",
            "fax_number": "619-532-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLATCHEY",
        "first_name": "SCOTT",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "CA",
            "license": "G89322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.