Healthcare Provider Details

I. General information

NPI: 1063385433
Provider Name (Legal Business Name): SCOTT MICHAEL PIPER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40024 HARVESTON DR
TEMECULA CA
92591-4802
US

IV. Provider business mailing address

29143 BOTTLEBRUSH
LAKE ELSINORE CA
92530-9135
US

V. Phone/Fax

Practice location:
  • Phone: 714-403-3463
  • Fax:
Mailing address:
  • Phone: 714-403-3463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: