Active NPI
George C Scott, MD
- Obstetrics & Gynecology Physician
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G55402
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G554020 | Medicaid | CA | |
| 2176339 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55402 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George C Scott MD | Current | 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
- 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.
-
- Medical Specialty Clinic/Center
- Manteca, CA
- NPI 1396061776
-
- Internal Medicine Physician
- Manteca, CA
- NPI 1437113065
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.