DR. SCOTT MICHAEL GRAHAM (NPI# 1902809551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902809551 |
| Entity Type | Individual |
| Full Name | DR. SCOTT MICHAEL GRAHAM |
| Credential | M.D. |
| Practice Address |
24331 El Toro Rd Ste 200 Laguna Woods CA 92637-3116 |
| Practice Telephone | 9495863200 |
| Practice Fax Number | 9499002136 |
| Mailing Telephone | 9495863200 |
| Mailing Fax Number | 9499002136 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A61526 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A61526 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A615260 | 05 | |
| CA | CAL-OPTIMA | 00A615260G89 | 01 |
| CA | MEDICARE RAILROAD | RR2000 42895 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932312097 | Scott David Graham | Military Health Care Provider | Eodmu 5 Unit 25499, 2112 Sumay Cove Drive, Santa Rita, GAUM 96915 | 2007-05-07 |
| 1750300497 | Scott T Graham | Physical Therapist | 2902 Forum Blvd, Suite 104, Columbia, MO 65203-5404 | 2006-07-19 |
| 1700801313 | Scott Allan Graham | Orthopaedic Surgery | 10 Harris Ct Bldg A, Ste A1, Monterey, CA 93940-5704 | 2006-07-13 |
| 1861452104 | Scott Fitzgerald Graham | Family Medicine | 1175 Wilson Ave Nw, Walker, MI 49534-6407 | 2006-03-23 |
| 1922356856 | Scott Graham | Counselor | 220 N Main St, Adrian, MI 49221-2749 | 2012-08-27 |
| 1194923631 | Scott James Graham | Emergency Medicine | 160 Allen St, Rutland, VT 05701-4560 | 2007-07-06 |
| 1447478011 | Scott Thomas Graham | Dentist | 44075 N Gratiot Ave, Clinton Twp, MI 48036-1312 | 2007-04-21 |
| 1225132350 | Scott R Graham | Family Medicine | 700 Cassidy Ave, Fredonia, KY 42411 | 2006-09-11 |
| 1154431609 | Scott M. Graham | Family Medicine | 20 Granite State Ct, Brewster, MA 02631-2127 | 2006-08-30 |
| 1760453294 | Scott C Graham | Anesthesiology | 1275 York Ave, New York, NY 10021-6007 | 2006-02-01 |
| Street Address |
24331 EL TORO RD STE 200 |
| City | LAGUNA WOODS |
| State | CA |
| Zip Code | 92637-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| 1750982757 | Orthowest | Durable Medical Equipment & Medical Supplies | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2020-11-05 |
| 1760007330 | Orthowest | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2020-06-10 |
| 1821646142 | Alicia M Moshier | Physician Assistant | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-08-29 |
| 1346898863 | South County Orthopedic Specialists | Physician Assistant | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-08-28 |
| 1679131114 | Bci Orthopaedics | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-05-30 |
| 1699233569 | Elizabeth Ann Vargas | Technician/Technologist | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-03-08 |
| 1578021697 | Sabrina Park | Technician/Technologist | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-03-07 |
| 1699243550 | Sherrinn Mullen | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-11-08 |
| 1669949020 | Rodrigo Rodriguez | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
| 1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
| 1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
| 1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
| 1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
| 1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
| 1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
| 1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
| 1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
| 1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
| Find all providers in zip 92637 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA WOODS |
| Zip Code | 92637 |
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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.