Individual provider Active NPI

Scott Jacob Thompson, PA-C

  • Physician Assistant
  • Huntington Beach, CA
National Provider Identifier
1962714964
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20544 Issued in CA
Practice address
19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904
Phone
(714) 252-9415
Fax
(714) 963-8407
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20544 CA Primary

Addresses

Primary practice location

19671 Beach Blvd Ste 315
Huntington Beach, CA 92648-5904

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

16300 Sand Canyon Ave Ste 207
Irvine, CA 92618-3712
Phone (949) 333-7580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000777 CA Practitioner - Physician Assistant 7719002898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20544CAMDAudiologist
PA20544CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Shores Medical Group, Inc. CurrentSince Feb 29, 2020 Accepting new patients
City of Hope Medical Foundation CurrentSince Aug 8, 2021 Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

19671 Beach Blvd
Ste 315
Huntington Beach, CA 92648
Phone (714) 252-9415

19582 Beach Blvd
Ste 212
Huntington Beach, CA 92648
Phone (714) 252-9415

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618
Phone (714) 252-9415

1043 Elm Ave
Ste 104
Long Beach, CA 90813
Phone (562) 495-6118

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: sthompson81797@cityofhope.direct-ci.com

Organizations & group practices 3

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1962714964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19671 BEACH BLVD STE 315",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485904",
            "telephone_number": "714-252-9415",
            "fax_number": "714-963-8407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16300 Sand Canyon Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183712",
            "country_code": "US",
            "telephone_number": "949-333-7580",
            "fax_number": "949-333-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SCOTT",
        "middle_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.