DR. SCOTT MICHAEL WASSERMAN (NPI# 1528405818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528405818 |
| Entity Type | Individual |
| Full Name | DR. SCOTT MICHAEL WASSERMAN |
| Credential | MD |
| Practice Address |
5238 Via Pisa Newbury Park CA 91320-7008 |
| Practice Telephone | 8053758293 |
| Mailing Telephone | 8053758293 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | AA66175 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
AA66175 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467531582 | Scott Allen Wasserman | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 250, Scottsdale, AZ 85255-4138 | 2006-11-02 |
| Street Address |
5238 VIA PISA |
| City | NEWBURY PARK |
| State | CA |
| Zip Code | 91320-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691452 | Velvet Hearts Professional Home Care Agency LLC | Chore Provider | 409 Calle Veracruz, Newbury Park, CA 91320 | 2019-04-05 |
| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085423 | Michael N. Papanicolaou Md Inc | Internal Medicine | 1000 Newbury Rd Ste 180, Newbury Park, CA 91320-6440 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURY PARK |
| Zip Code | 91320 |
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| 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.