SCOTT CHAMBERLAIN (NPI# 1356395453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356395453 |
| Entity Type | Individual |
| Full Name | SCOTT CHAMBERLAIN |
| Credential | M.D. |
| Practice Address |
1990 N California Blvd Ste 400 Walnut Creek CA 94596-7249 |
| Mailing Address |
612 Mocksville Ave Salisbury NC 28144-2732 |
| Practice Telephone | 9252255837 |
| Practice Fax Number | 9252252834 |
| Mailing Telephone | 7042105190 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 9501198 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5900046 | 05 | |
| NC | BLUE CROSS | 21932 | 01 |
| NC | RAILROAD MEDICARE | P00205735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336259787 | Scott Garrett Chamberlain | Chiropractor | 2001 First Street, Selma, CA 93662 | 2006-08-30 |
| 1316335342 | Scott M Chamberlain | Case Manager/Care Coordinator | 1021 Industrial Blvd, Suite B, Watkinsville, GA 30677-2761 | 2014-12-29 |
| 1083867071 | Scott Eric Chamberlain | Anesthesiology | 47 New Scotland Ave, Albany, NY 12208 | 2008-11-04 |
| Street Address |
1990 N CALIFORNIA BLVD STE 400 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447619051 | Alexandria Grechko | Physician Assistant | 1990 N California Blvd Ste 400, Walnut Creek, CA 94596-7249 | 2016-02-11 |
| 1447355474 | James P Derum | Physician Assistant | 1990 N California Blvd Ste 400, Walnut Creek, CA 94596-7249 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| 1790022911 | Robert David Burnett | Emergency Medicine | 2085 Cactus Ct #1, Walnut Creek, CA 95495 | 2013-01-08 |
| 1790984730 | Wilfred M M Rico | Emergency Medicine | 7000 Sunne Lane, Apt. 601, Walnut Creek, CA 94597 | 2007-07-11 |
| 1477627784 | Harold S. Woo | Emergency Medicine | 324 Conifer Ct, Walnut Creek, CA 94598-2614 | 2006-11-20 |
| 1811075922 | Anthony F. Waechter | Emergency Medicine | 1425 S Main St., Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1043231038 | Seigfred P. Jalalon | Emergency Medicine | 1450 Treat Blvd # 160, Walnut Creek, CA 94597-2168 | 2006-07-22 |
| 1356361059 | Lawrence Hubbard Tew | Emergency Medicine | 3070 Del Hombre Lane, Walnut Creek, CA 94597-2164 | 2006-07-19 |
| 1407804925 | William E Taylor II | Emergency Medicine | 1810 Meadow Ln, Walnut Creek, CA 94595-2630 | 2006-05-05 |
| 1770019259 | Lauren Alyssa Cooke | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2017-05-03 |
| 1871949644 | Christine Sutu | Emergency Medicine | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2016-05-10 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on SCOTT CHAMBERLAIN.
| 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.