MEDICARE: DR. SCOTT ALLAN ROOF M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Y00000X	Otolaryngology Physician	309159	NY
3	207Y00000X	Otolaryngology Physician	35.139127	OH

General Provider Information

NPI Number	:	1669867123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT ALLAN ROOF M.D.

Provider Business Mailing Address
First Line	:	5 E 98TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6501
Country	:	US
Telephone Number	:	212-241-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	24712 AVONDALE DR
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5752
Country	:	US
Telephone Number	:	949-290-2189
Fax Number	:

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

Provider Enumeration Date	:	04/01/2015
Last Update Date	:	08/11/2021

Similar Medicare Providers

1144613324 — MR. WILLIAM JOHNSON JR. M.S.
Practice Location Address:

4014 CYPRESS CT
COUNTRY CLUB HILLS, IL
60478-5752

Practice Phone: 708-365-6721
Practice Fax:

1356148647 — ELISE MICHELLE SHAHAN FNP-C
Practice Location Address:

1353 W CHENA HILLS DR
FAIRBANKS, AK
99709-5752

Practice Phone: 907-750-9620
Practice Fax:

1952893372 — RENITA LOIS ADIRA
Practice Location Address:

23521 PASEO DE VALENCIA STE B5
LAGUNA HILLS, CA
92653-3125

Practice Phone: 949-540-0170
Practice Fax: 949-540-0173

1689826752 — DR. CHRISTINE H. LEE M.D.
Practice Location Address:

24451 HEALTH CENTER DR
LAGUNA HILLS, CA
92653-3689

Practice Phone: 949-342-6798
Practice Fax:

1679425532 — SOCAL PHYSICIAN PARTNERS APC
Practice Location Address:

23141 VERDUGO DR STE 201
LAGUNA HILLS, CA
92653-1341

Practice Phone: 949-000-0000
Practice Fax:

1265385694 — JOSHUA BRAYDEN RIVERA
Practice Location Address:

23046 AVENIDA DE LA CARLOTA STE 600
LAGUNA HILLS, CA
92653-1537

Practice Phone: 714-805-9070
Practice Fax: 949-860-7221

Directions to “ DR. SCOTT ALLAN ROOF M.D.” 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.