MR. SCOTT ERIC ANDERSON I (NPI# 1699965269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699965269 |
| Entity Type | Individual |
| Full Name | MR. SCOTT ERIC ANDERSON I |
| Practice Address |
2239 Bridgeport Wat Martrinez CA 94553 |
| Mailing Address |
2239 Bridgeport Way Martinez CA 94553-6712 |
| Practice Telephone | 9259570456 |
| Mailing Telephone | 9259570456 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
69 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308719 | Scott Robert Anderson | Psychologist | 800 Carter St Ste 260, Rochester, NY 14621-2604 | 2010-10-14 |
| 1770897910 | Scott Mitchell Anderson | Dentist | 855 A Ave Ne Ste Ll1, Cedar Rapids, IA 52402-5064 | 2010-07-29 |
| 1205099199 | Scott Monroe Anderson | Occupational Therapist | 991 Clyde Ave, Santa Clara, CA 95054-1905 | 2008-07-09 |
| 1245353598 | Scott Robert Anderson | Dentist | 33 E Chapman St, Ely, MN 55731-1227 | 2007-04-09 |
| 1053441436 | Scott Dodd Anderson | Preventive Medicine | 9261 Folsom Blvd Ste 200, Sacramento, CA 95826-2559 | 2007-03-06 |
| 1497897748 | Scott Edward Anderson | Physician Assistant | Diraimondo Troop Medical Clinic #9, Fort Carson, CO 80913 | 2007-02-13 |
| 1104962166 | Scott Michael Anderson | Chiropractor | 3824 Bloomington Ave, Minneapolis, MN 55407-2842 | 2007-01-29 |
| 1316000235 | Scott Gary Anderson | Chiropractor | 3821 Washington Rd, Mc Murray, PA 15317-2946 | 2006-12-19 |
| 1265500599 | Scott Kenneth Anderson | Chiropractor | 4033 Owen Rd, Fenton, MI 48430-9100 | 2006-12-04 |
| 1316019433 | Scott William Anderson | Dentist | 521 W Lake Ave, Peoria, IL 61614-6020 | 2006-11-14 |
| Street Address |
2239 BRIDGEPORT WAT |
| City | MARTRINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982781 | Doris J Dweh | Counselor | 12642 Memorial Way Apt 3100, Moreno Valley, CA 92553-7591 | 2020-11-05 |
| 1184225260 | Suzette Vega | Counselor | 10018 Downey Sanford Bridge Rd, Downey, CA 90240-3556 | 2020-11-04 |
| 1548860497 | Roger A Thrush | Counselor | 7777 Alvarado Rd Ste 257, La Mesa, CA 91942-8318 | 2020-10-29 |
| 1891395026 | Hayley Nasrallah | Counselor | 11712 Moorpark St Ste 101, Studio City, CA 91604-2155 | 2020-10-27 |
| 1831796978 | Geri Ann Delarosa | Counselor | 1521a Shattuck Ave, Berkeley, CA 94709-1516 | 2020-10-01 |
| 1659988822 | Katherine Beus Cusumano | Counselor | 11975 N Davis Rd, Lodi, CA 95242-9425 | 2020-09-30 |
| 1821605379 | Jacquelan Addesan King | Counselor | 124 5th St Apt A, Seal Beach, CA 90740-8000 | 2020-09-29 |
| 1225645807 | Jordan Martin | Counselor | 4065 Glencoe Ave, Marina Del Rey, CA 90292-4600 | 2020-09-28 |
| 1972110807 | Stefany Jasmin Zacarias | Counselor | 809 S Marengo Ave, Pasadena, CA 91106-3607 | 2020-09-24 |
| 1619582558 | Vanessa Diaz Venegas | Counselor | 8554 Clarinda Ave, Pico Rivera, CA 90660-5701 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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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.