SCOTT R. BLAIR (NPI# 1841715232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841715232 |
| Entity Type | Individual |
| Full Name | SCOTT R. BLAIR |
| Credential | PA-C |
| Practice Address |
12828 Harbor Blvd Ste 200 Garden Grove CA 92840 |
| Mailing Address |
12828 Harbor Blvd Ste 200 Garden Grove CA 92840-5834 |
| Practice Telephone | 7146387000 |
| Mailing Telephone | 7146387000 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2019-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54903 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 E Lincoln Ave, Orange, CA 928651928 | 7149211546 | |
| 1801 Excise Ave Ste 108, Ontario, CA 917618555 | 9093903400 | |
| 447 Marketview, Irvine, CA 926021693 | 9493513690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851688923 | Scott Blair | Surgery | 2451 Fillingim St Rm 709, Mobile, AL 36617-2238 | 2011-07-08 |
| 1063857456 | Scott William Blair | Case Manager/Care Coordinator | 800 E 6th Ave, Ste. B, Stillwater, OK 74074-3732 | 2013-04-30 |
| 1891868980 | Scott D Blair | Family Medicine | 3434 W Broadway, Council Bluffs, IA 51501-3291 | 2006-11-16 |
| 1922004399 | Scott C Blair | Internal Medicine | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2005-06-22 |
| Street Address |
12828 HARBOR BLVD STE 200 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| 1871878843 | Thu Anh Do | Pharmacist | 12002 Harbor Blvd., Garden Grove, CA 92840 | 2011-10-20 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290637 | Julie Nguyen | Physician Assistant | 12881 Lemonwood Ln, Garden Grove, CA 92840-5520 | 2020-06-24 |
| 1235761040 | Janet Tran | Physician Assistant | 9012 Ingram Ave, Garden Grove, CA 92844-2709 | 2020-02-10 |
| 1174091326 | Anne K Le | Physician Assistant | 10141 Westminster Ave Ste E, Garden Grove, CA 92843-4790 | 2018-11-06 |
| 1548504533 | Chau Duc Nguyen | Physician Assistant | 11581 Fredrick Dr, Garden Grove, CA 92840-3542 | 2012-11-15 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1336425644 | William To | Physician Assistant | 12555 Garden Grove Blvd Ste 504, Garden Grove, CA 92843-1903 | 2011-11-01 |
| 1720686983 | Jocelyn Linh Nguyen | Physician Assistant | 8342 Garden Grove Blvd, Garden Grove, CA 92844-1151 | 2020-10-11 |
| 1548802416 | Michael Jeffrey Farley | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-10-11 |
| 1356804587 | Tiffany Quyen Nguyen | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-04-14 |
| 1194291484 | Haley Nguyen | Physician Assistant | 9191 Westminster Ave, Garden Grove, CA 92844-2751 | 2018-10-15 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on SCOTT R. BLAIR.
| 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.