Healthcare Provider Details

I. General information

NPI: 1164336970
Provider Name (Legal Business Name): NATALIE SCOTT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE MCGUIRE NP

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 EL CAMINO REAL
SAN DIEGO CA
92130-2045
US

IV. Provider business mailing address

11425 EL CAMINO REAL
SAN DIEGO CA
92130-2045
US

V. Phone/Fax

Practice location:
  • Phone: 858-794-6363
  • Fax: 619-848-7421
Mailing address:
  • Phone: 858-794-6363
  • Fax: 619-848-7421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95013581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: