SCOTT LUIS MARTIN (NPI# 1750711305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750711305 |
| Entity Type | Individual |
| Full Name | SCOTT LUIS MARTIN |
| Credential | PA |
| Practice Address |
400 N Pepper Ave Colton CA 92324-1801 |
| Mailing Address |
18846 Santa Barbara St Fountain Valley CA 92708-6311 |
| Practice Telephone | 9095801000 |
| Mailing Telephone | 7144016385 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA23218 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437523255 | Scott Austin Martin | Counselor | 12863 County Road 192, Tyler, TX 75703-6417 | 2015-11-17 |
| 1316206741 | Scott Jason Martin | Pharmacist | 4412 Springbranch Dr, Benbrook, TX 76116-7634 | 2012-05-04 |
| 1588990667 | Scott B Martin | Social Worker | 12158 Shorewood Dr Sw, Burien, WA 98146-2424 | 2009-10-26 |
| 1447483102 | Scott M Martin | Acupuncturist | 1807 E Olive St Apt 204, Shorewood, WI 53211-2049 | 2009-08-28 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| 1811103021 | Scott E. Martin | Dentist | 237 Everett Ave, Wyckoff, NJ 07481-1944 | 2007-05-15 |
| 1801911375 | Scott Dean Martin | Dentist | 224 W Grant Ave, Charleston, IL 61920-3343 | 2007-03-20 |
| 1306971866 | Scott Arthur Martin | Dentist | 26504 Ne Valley St., Duvall, WA 98019 | 2007-02-23 |
| 1366527251 | Scott Raymond Martin | Emergency Medicine | 29 Hospital Plz Ste 502, Stamford, CT 06902-3602 | 2006-10-26 |
| 1356350474 | Scott E Martin | Optometrist | 1015 E Dupont Rd, Fort Wayne, IN 46825-1553 | 2006-08-07 |
| Street Address |
400 N PEPPER AVE |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171970 | Udofot Philip Ntia | Physician Assistant | 415 W Valley Blvd Ste 5, Colton, CA 92324-2268 | 2006-09-05 |
| 1225670607 | Rose Margaret Carlson | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1819 | 2019-10-17 |
| 1053782920 | Ryan Scott Cates | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2015-10-16 |
| 1780054858 | William August Diez Jr. | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2015-10-01 |
| 1235534108 | Megan Holt | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-11-04 |
| 1366843831 | Ashley M Tavarez | Physician Assistant | 400 N Pepper Ave, Emergency Department, Colton, CA 92324-1801 | 2014-09-15 |
| 1578962049 | Richard Martin Grandquist IIi | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2014-08-20 |
| 1821406018 | Alicia Jones | Physician Assistant | 8 Gulf Rd, Colton, NY 13625-3257 | 2014-07-31 |
| 1356770606 | Diane Schoendienst | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-11-07 |
| 1063859783 | Ashley Ryan Glenn-mcdowell | Physician Assistant | 400 N Pepper Ave, Mob Suite 107, Colton, CA 92324-1801 | 2013-06-04 |
| Find all providers in COLTON | ||||
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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.