SCOT A BREWSTER (NPI# 1568469815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568469815 |
| Entity Type | Individual |
| Full Name | SCOT A BREWSTER |
| Credential | MD |
| Practice Address |
9850 Genesee Ave Ste 560 La Jolla CA 92037-1229 |
| Mailing Address |
Po Box 514016 Los Angeles CA 90051-4016 |
| Practice Telephone | 8584556330 |
| Practice Fax Number | 8584555408 |
| Mailing Telephone | 8584556330 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2011-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A46084 | CA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | A46084 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A460840 | 05 |
| Street Address |
9850 GENESEE AVE STE 560 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760589 | Frank Edward Mayer | Internal Medicine | 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 | 2005-06-16 |
| 1649717737 | La Jolla Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 | 2017-01-26 |
| 1083151674 | Stephanie Klein | Physician Assistant | 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 | 2017-01-20 |
| 1346785250 | Lee Marie Atwood | Nurse Practitioner | 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 | 2017-01-01 |
| 1447795661 | Kirsten Goshen | Nurse Practitioner | 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 | 2016-12-24 |
| 1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
| 1164875175 | Miranda Mulholland | Nurse Practitioner | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2016-07-14 |
| 1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
| 1679946040 | Lauren E Campagna | Physician Assistant | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2015-11-07 |
| 1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619108503 | Scripps Health | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave Fl 3, La Jolla, CA 92037-1205 | 2009-07-27 |
| 1013954080 | Theodore C Pratt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9434 Medical Center Dr Fl 1, La Jolla, CA 92037-1337 | 2006-05-31 |
| 1033116223 | William Gang Wang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-07-01 |
| 1932547122 | Ghassan A Moasis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2013-06-10 |
| 1124131073 | Doug Neal Mellinger | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2006-08-16 |
| 1144270620 | John J. Tyner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2006-05-12 |
| 1912974312 | Leland B. Housman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-03-03 |
| 1588646103 | Sam Baradarian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-11-18 |
| 1164420782 | Richard Duane Stahl | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Genesee Ave, Ste 560, La Jolla, CA 92037-1229 | 2005-07-08 |
| 1588661839 | Donald Lyle Buehler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9850 Genesee Ave, Ste 560, La Jolla, CA 92037-1229 | 2005-07-01 |
| Find all providers in LA JOLLA | ||||
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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.