Individual provider Active NPI

Scot Alan Youngblood, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • San Diego, CA
National Provider Identifier
1982675799
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
C175024 Issued in CA
Practice address
9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726
Phone
(619) 853-8860
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2010-00683 NC
Orthopaedic Surgery Physician 207X00000X 01050473A IN
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X C175024 CA Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X C175024 CA

Addresses

Primary practice location

9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726

Mailing address

9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726
Phone (619) 853-8860

Other identifiers 1

IdentifierTypeStateIssuer
01050473AOtherINMEDICAL LICENSE

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
I20230605002979 CA Practitioner - Orthopedic Surgery 0941331284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9095 Rio San Diego Dr
Suite 450
San Diego, CA 92108-1726
Phone (858) 357-9477

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050473AINMDOrthopaedic Surgery Physician
2010-00683NCMDOrthopaedic Surgery Physician
C175024CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2023 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Scripps Health Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

955 Lane Ave
Ste 200
Chula Vista, CA 91914
Phone (619) 421-3400

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

9095 Rio San Diego Dr
Ste 450
San Diego, CA 92108
Phone (619) 853-8860

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

6719 Alvarado Rd
Ste 200
San Diego, CA 92120
Phone (619) 229-3932

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1982675799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 RIO SAN DIEGO DR STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081726",
            "telephone_number": "619-853-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 RIO SAN DIEGO DR STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081726",
            "telephone_number": "619-853-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SCOT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2010-00683",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01050473A",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "C175024",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "C175024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01050473A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.