Scott Anthony Mancuso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31889 Issued in AZ

Practice address

7755 Center Ave Ste 630
Huntington Beach, CA 92647-9152

Phone

(657) 400-5180

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: smancuso@landmarkhealth-direct.org

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.

• Evergreen Nephrology of Golden State PC

  • Nephrology Physician
  • Nashville, TN
  • NPI 1932800927

  Internal Medicine

  NPD
• Landmark Connect of Oregon PC

  • General Practice Physician
  • Portland, OR
  • NPI 1194223107
  NPD (past)
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1962497024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 CORONA LN",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265525",
            "telephone_number": "602-317-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152",
            "telephone_number": "657-400-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 N 107th St Ste 480",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339009",
            "country_code": "US",
            "telephone_number": "209-962-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5933 NE Win Sivers Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972209106",
            "country_code": "US",
            "telephone_number": "503-420-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Galleria Blvd # 1420",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700012082",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Seneca St Ste 646C",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142101351",
            "country_code": "US",
            "telephone_number": "716-995-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1146 Corona Ln",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "92626",
            "country_code": "US",
            "telephone_number": "602-317-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "SCOTT",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "31889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874132-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Joy Malek, D.C.
• Joel Marvin Mallari, COTA
• David Robert Maloney, D.C.
• Juliana Mamaghani, MA, BCBA
• Bernadette Manalo, NP
• Christina Minh Mander, LMFT
• Nancy Maneval
• Michelle Marie Mangano, CAMTC #22754
• Jonathan Anh Tuan Manh
• Jane Manjarrez

• Internal Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.