MR. JACK SCOTT


Address: 37437 Glenmoor Dr, Fremont, CA 94536-5731
Phone: 5107133200

MR. JACK SCOTT (NPI# 1235799792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235799792
Entity Type Individual
Full Name MR. JACK SCOTT
Credential RADT
Practice Address 37437 Glenmoor Dr
Fremont
CA 94536-5731
Mailing Address 4510 Peralta Blvd Ste 1
Fremont
CA 94536-5755
Practice Telephone 5107133200
Practice Fax Number 5107130684
Mailing Telephone 5107133202
Mailing Fax Number 5107130684
Enumeration Date 2019-06-17
Last Update Date 2019-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
R1327711118 CA Behavioral Health & Social Service Providers

Other Providers JACK SCOTT

NPI Name Taxonomy Address Enumeration
1417487471 Jack Scott Audiologist 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 2017-06-13
1699202465 Jack Scott Non-emergency Medical Transport (VAN) 3893 Birchfield Dr, Harvey, LA 70058-2004 2017-05-11
1417192196 Jack Arnold Scott Specialist 1534 W Shore Dr, Loveland, CO 80538-3147 2008-12-09
1487878195 Jack Dwyer Scott Chiropractor 4016 River Oaks Dr, Ste 4, Myrtle Beach, SC 29579-6673 2007-04-12
1619913050 Jack C. Scott Specialist 7205 University Ave Ne, Fridley, MN 55432-3134 2006-06-22
1629056189 Jack D Scott Emergency Medicine 1600 Sw Archer Rd, Gainesville, FL 32610-3003 2006-01-05

Office Location

Street Address 37437 GLENMOOR DR
City FREMONT
State CA
Zip Code 94536-5731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780872127 Carneles Unidos Reformando Adictos Incorporate Substance Abuse Rehabilitation Facility 37437 Glenmoor Dr, Fremont, CA 94536-5731 2007-10-11
1194363424 Manessa Boyko Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-12-17
1851935068 Jeryl Lindhurst Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-10-30
1588208789 Claudia Solorio Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-10-30
1497399604 James Bounds Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-10-30
1548820095 Lora Renee Douglas Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-06-17
1215597760 Lonnie Brewer Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-06-17
1699335158 Tamara De Santo Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-06-17
1407317704 Raymond Edward Douglas Counselor 37437 Glenmoor Dr, Fremont, CA 94536-5731 2019-03-28
1477924918 Carnales Unidos Reformando Adictos Substance Abuse Rehabilitation Facility 37437 Glenmoor Dr, Fremont, CA 94536-5731 2015-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342036 Aria Healthcare Inc Durable Medical Equipment & Medical Supplies 37179 Fremont Blvd, Fremont, CA 94536 2020-10-06
1811555840 Rebecca Cole Psychologist 5149 High Meadow Court, Fremont, CA 94536 2019-06-04
1972958247 Priyanka Gwalani Internal Medicine 656 Mowry Ave., Fremont, CA 94536 2016-04-25
1700258522 Mats Hellsten Marriage & Family Therapist 38950 Blacow Road, Suite D, Fremont, CA 94536 2015-10-21
1255727293 Nicholas Andrew Phillips Family Medicine 556 Mowry Ave Ste 200, Fremont, CA 94536 2015-04-07
1356735120 Anthony Chukwunonso Okereke Pharmacist 35829 Cabrillo Drive, Fremont, CA 94536 2015-03-19
1992118590 Aaron Jake Bera Chiropractor 35666 Gleason Ln, Fremon, CA 94536 2014-06-11
1467898809 Vijayalakshmi Natarajan Health Educator 4941 Roselle Cmn, Fremont, CA 94536 2013-05-13
1184968919 Linda Kim Behavioral Analyst 3750 Tamayo St Apt 93, Fremont, CA 94536 2012-11-16
1346518487 Arsen Rhoel Donesa Dentist 37149 Fremont Boulevard, Fremont, CA 94536 2011-12-04
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1013416320 Tammy Jo Broshious Counselor 512 E State St, Fremont, OH 43420-4259 2018-02-02
1770952475 Yvette Augustine Counselor 4075 Tamayo St, Fremont, CA 94536-4625 2015-09-23
1518363548 Lindsay Brundege Counselor 1420 E Military Ave, Fremont, NE 68025-5300 2014-11-19
1003186818 Edgar T. Young Counselor 4219 Tiburon Dr, Fremont, CA 94555-3261 2012-01-10
1083905988 Awareness Counseling Counselor 2170 N Platte Ave, Fremont, NE 68025-2630 2011-04-26
1932420643 P & P Fabrication Counselor 92 W 5th St, Ste B, Fremont, NE 68025 2010-06-16
1295968717 Nichole Bonnie Gregory Counselor 2170 North Platte Street, Awareness Counseling, Fremont, NE 68025-2630 2009-09-01
1023273521 Sarah Magdalene Cady Counselor 513 N D St, Fremont, NE 68025-5051 2008-07-23
1457532921 Paul Francisco Counselor 41299 Paseo Padre Pkwy, Apt. # 12, Fremont, CA 94539-4551 2007-11-26
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Competitor

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City FREMONT
Zip Code 94536

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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