DR. DOMINIQUE MATTHEW SCOTT (NPI# 1932283439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932283439 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE MATTHEW SCOTT |
| Practice Address |
510 N Prospect Ave Ste.207 Redondo Beach CA 90277-3028 |
| Practice Telephone | 3103765433 |
| Mailing Telephone | 3103765433 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC25377 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PALMETTO GBA RAIL ROAD | P00136906 | 01 |
| CA | BLUE SHIELD PROVIDER # | DC0253770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746975 | Dominique Scott | Developmental Therapist | 5342 S Wells St, Chicago, IL 60609-6219 | 2020-09-27 |
| Street Address |
510 N PROSPECT AVE STE.207 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619948395 | Cheryl Lynn Sanders | Obstetrics & Gynecology | 510 N Prospect Ave, #320, Redondo Beach, CA 90277 | 2006-01-30 |
| 1528591898 | Kristen Smith | Physician Assistant | 510 N Prospect Ave, Suite 209, Redondo Beach, CA 90277-3028 | 2017-04-04 |
| 1689055873 | Advanced Podiatry Group Inc | Podiatrist | 510 N Prospect Ave, Suite 306, Redondo Beach, CA 90277-3028 | 2015-06-12 |
| 1003296369 | Advanced Medical Group, Inc | Podiatrist | 510 N Prospect Ave, Ste 306, Redondo Beach, CA 90277-3028 | 2015-06-02 |
| 1285906669 | Gail Levee, M.d. | Family Medicine | 510 N Prospect Ave, 304, Redondo Beach, CA 90277-3030 | 2012-02-01 |
| 1225335805 | Albert A. Reff, M.d.,inc. | Orthopaedic Surgery | 510 N Prospect Ave, Suite 105, Redondo Beach, CA 90277-3028 | 2011-02-17 |
| 1841508652 | James W. Bryan, Md Inc | Ophthalmology | 510 N Prospect Ave, Suite 305, Redondo Beach, CA 90277-3028 | 2010-09-15 |
| 1386961779 | Diane Lisabeth Blagojevich | Physical Therapist | 510 N Prospect Ave, Suite 105, Redondo Beach, CA 90277-3028 | 2010-04-26 |
| 1154552479 | Karen Corey | Social Worker | 510 N Prospect Ave, Suite 208, Redondo Beach, CA 90277-3028 | 2009-08-04 |
| 1184894693 | La/oc Surgical Center, Inc. | Clinic/Center | 510 N Prospect Ave, Suite 202, Redondo Beach, CA 90277-3028 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902334 | Nathan Luczynski | Chiropractor | 1603 Aviation Blvd Ste 12, Redondo Beach, CA 90278-2856 | 2020-05-05 |
| 1134610710 | Kristin Palase | Chiropractor | 527 Calle Mayor, Redondo Beach, CA 90277-6420 | 2018-05-19 |
| 1730540295 | Tyler Keith Clark | Chiropractor | 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 | 2016-03-11 |
| 1558736645 | Stephen Scully | Chiropractor | 333 Palos Verdes Blvd Apt 31, Redondo Beach, CA 90277-6322 | 2015-12-01 |
| 1952773624 | Dibagohar Chiropractic, A Professional Corporation | Chiropractor | 403 North Pacific Coast Highway, 201, Redondo Beach, CA 90277-2839 | 2015-10-21 |
| 1396133070 | Liesel G Orend | Chiropractor | 2009 Artesia Blvd, Suite B, Redondo Beach, CA 90278-3074 | 2015-01-02 |
| 1790184562 | Amanda Stanuszek | Chiropractor | 1300 S Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-5003 | 2014-08-18 |
| 1619380730 | Sabrina Saldana Quinene | Chiropractor | 1926 S Pacific Coast Hwy Ste 207, Redondo Beach, CA 90277-6145 | 2014-06-05 |
| 1427394014 | John Baptist Conca | Chiropractor | 1807 So. Catalina Ave, Redondo Beach, CA 90277 | 2012-12-31 |
| 1861764490 | Homan Dibagohar Dc A Professional Chiropractic S Corporation | Chiropractor | 403 N Pacific Coast Hwy Ste 201, Redondo Beach, CA 90277-2882 | 2012-01-27 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on DR. DOMINIQUE MATTHEW SCOTT.
| 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.