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E SCOTT NIELSEN MD PC NPI 1316075831


NPI Information

NPI: 1316075831
Provider Name: E SCOTT NIELSEN MD PC

Doing Business As: CORCORAN WELLCARE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1310 HANNA AVE
SUITE 1
CORCORAN, CA
ZIP 93212
Phone: (559) 992-0082
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E SCOTT NIELSEN MD PC is a family medicine in Corcoran, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. E SCOTT NIELSEN MD PC NPI is 1316075831. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Corcoran Wellcare Medical Group.

The provider's business location address is:

1310 HANNA AVE
SUITE 1
CORCORAN, CA
ZIP 93212-314
Phone: (559) 992-0082
Fax: (559) 992-9873

The provider's authorized official is Ezra Scott Nielsen .
The authorized official title is Owner and has the following contact phone number (559) 992-0082.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA44146CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ27033ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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