SCOTT ROBERTSON MD INC NPI 1598091068

NPI Information

  • NPI: 1598091068
  • Provider Name: SCOTT ROBERTSON MD INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 901 OAK PARK BLVD
    SUITE 100
    PISMO BEACH, CA
    ZIP 93449
  • Phone: (805) 489-2205

Map and Directions

Get Directions

NPI Details

SCOTT ROBERTSON MD INC is a family medicine in Pismo Beach, 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. SCOTT ROBERTSON MD INC NPI is 1598091068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 OAK PARK BLVD
SUITE 100
PISMO BEACH, CA
ZIP 93449-408
Phone: (805) 489-2205
Fax: (805) 489-2206

The provider's authorized official is Scott E Robertson .
The authorized official title is President and has the following contact phone number (805) 489-2205.

The enumeration date for this NPI number is 10/19/2009 and was last updated on 12/20/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105D2006808OTHERCALIFORNIACLIA WAIVER
2CLP00339667OTHERCALIFORNIADPH CLINICAL LABORATORY REGISTRATION NUMBER
3CR625MEDICARE PINCALIFORNIA
4C3228143OTHERCALIFORNIACA DEPT OF CORPORATIONS NUMBER

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI