SCOTT CRISMON D.P.M. NPI 1679872725

NPI Information

NPI: 1679872725
Provider Name: SCOTT CRISMON, D.P.M.
Classification: Podiatrist - 213ES0000X
Entity Type: Individual

Specialization: Sports Medicine

Organization: PACIFIC COAST PODIATRY PC

PECOS Registration: Yes

Address:
1711 W TEMPLE ST
LOS ANGELES, CA
ZIP 90026
Phone: (213) 989-6124
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Scott Crismon, D.P.M. is a sports medicine podiatrist in Los Angeles, CA with 14 years of experience. Scott Crismon, D.P.M. NPI is 1679872725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2010

The provider's business location address is:

1711 W TEMPLE ST
LOS ANGELES, CA
ZIP 90026-421
Phone: (213) 989-6124

The NPI 1679872725 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2011 and was last updated on 11/29/2021.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	EL1830	CALIFORNIA	No
2	213ES0000X	Podiatrist	Sports Medicine	EL1830	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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