Individual provider Active NPI

George C Scott, MD

  • Obstetrics & Gynecology Physician
  • Manteca, CA
National Provider Identifier
1942288873
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G55402 Issued in CA
Practice address
210 N Fremont St
Manteca, CA 95336-4725
Phone
(209) 239-4100
Fax
(209) 239-4110
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G55402 CA Primary

Addresses

Primary practice location

210 N Fremont St
Manteca, CA 95336-4725

Mailing address

210 N Fremont St
Manteca, CA 95336-4725
Phone (209) 239-4100

Other identifiers 2

IdentifierTypeStateIssuer
00G554020MedicaidCA
2176339MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081203000542 CA Practitioner - Obstetrics/Gynecology 5698835502 Practice locations: Manteca, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 N Fremont St
Manteca, CA 95336-4725
Phone (209) 239-4100

Hospital & facility affiliations

  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55402CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George C Scott MD CurrentSince May 15, 2010 Accepting new patients
Manteca Medical Group, Inc Obstetrics & Gynecology Current Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

210 N Fremont St
Manteca, CA 95336
Phone (209) 239-4100

1191 E Yosemite Ave
Ste C
Manteca, CA 95336
Phone (209) 239-4100

1262 E North St
Manteca, CA 95336
Phone (209) 823-7646

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gscott11995@hpmg.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1942288873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N FREMONT ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364725",
            "telephone_number": "209-239-4100",
            "fax_number": "209-239-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N FREMONT ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364725",
            "telephone_number": "209-239-4100",
            "fax_number": "209-239-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GEORGE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G55402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G554020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176339",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.