Active NPI
Scott Lindsay Mataoa, M.D.
- Emergency Medicine Physician
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A121249
- Practice address
- 2400 E 4TH St
National City, CA 91950-2026 - Phone
- (619) 470-4321
- NPI assigned
- Jul 7, 2008
- 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 | 050281 | CT | |
| Emergency Medicine Physician | 207P00000X | A121249 | CA | Primary |
Addresses
Primary practice location
2400 E 4TH St
National City, CA 91950-2026
Mailing address
2400 E 4TH St
National City, CA 91950-2026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Utah School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3580 W 9000
West Jordan, UT 84088-8812
Phone (801) 561-8888
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121249 | CA | MD | Emergency Medicine Physician |
| 050281 | CT | MD | Emergency Medicine Physician |
| 24937 | WV | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Pacific Emergency Providers, a Prof. Corp. | Emergency Medicine | Current | Accepting new patients |
| Palomar Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Alvarado Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Usacs of Connecticut, LLC | Emergency Medicine | Past | Accepting new patients |
| Bestpractices of West Virginia, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Interoperability endpoints
- smataoa@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1497790539
-
- Emergency Medicine Physician
- Escondido, CA
- NPI 1124698139
-
- Emergency Medicine Physician
- National City, CA
- NPI 1780066076
-
- Emergency Medicine Physician
- Parkersburg, WV
- NPI 1245284421
-
- Emergency Medicine Physician
- Bristol, CT
- NPI 1285713099
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354924800000",
"number": "1932362340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E 4TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E 4TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502026",
"telephone_number": "619-470-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATAOA",
"first_name": "SCOTT",
"middle_name": "LINDSAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2012-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CT",
"license": "050281",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A121249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2012; 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.
- 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.