Healthcare Provider Details

I. General information

NPI: 1295877207
Provider Name (Legal Business Name): FRANK EUGENE SCOTT JR. D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 W TEFFT ST STE 13
NIPOMO CA
93444-8988
US

IV. Provider business mailing address

671 W TEFFT ST STE 13
NIPOMO CA
93444-8988
US

V. Phone/Fax

Practice location:
  • Phone: 805-473-4001
  • Fax: 805-477-3925
Mailing address:
  • Phone: 805-473-4001
  • Fax: 805-477-3925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number20A7253
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: