MEDICARE: DR. SCOTT SIDNEY EMERSON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10483T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518955996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT SIDNEY EMERSON OD

Provider Business Mailing Address
First Line	:	1030 W I ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-3954
Country	:	US
Telephone Number	:	209-826-2323
Fax Number	:	209-826-2501

Provider Business Practice Location Address
First Line	:	1030 W I ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-3954
Country	:	US
Telephone Number	:	209-826-2323
Fax Number	:	209-826-2501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	08/19/2008

Similar Medicare Providers

1992995849 — CHING LIU MTOM
Practice Location Address:

11965 VENICE BLVD STE 207
LOS ANGELES, CA
90066-3954

Practice Phone: 310-591-8786
Practice Fax:

1265686240 — MIRNA TOVAR
Practice Location Address:

3954 PRINCETON ST
LOS ANGELES, CA
90023-1944

Practice Phone: 323-482-2062
Practice Fax:

1700010048 — TERI ERCOLI
Practice Location Address:

11965 VENICE BLVD STE 202
LOS ANGELES, CA
90066-3954

Practice Phone: 310-266-8178
Practice Fax:

1861622276 — DR. SANAM ABRISHAMI
Practice Location Address:

11965 VENICE BLVD STE 202
LOS ANGELES, CA
90066-3954

Practice Phone: 818-896-1161
Practice Fax:

1073745238 — NOURISHING DIRECTION INC
Practice Location Address:

3954 CITY TERRACE DR , STE 101
LOS ANGELES, CA
90063-1241

Practice Phone: 323-354-0838
Practice Fax:

1740599836 — PRAGNA BHAKTA M.S., CCC-SLP
Practice Location Address:

3954 ALLA RD
LOS ANGELES, CA
90066-4114

Practice Phone: 213-268-2053
Practice Fax:

Directions to “ DR. SCOTT SIDNEY EMERSON OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.