SCOTT B HEARTH MD NPI 1871908277

NPI Information

  • NPI: 1871908277
  • Provider Name: SCOTT B HEARTH, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: COSMETIC DERMATOLOGY CENTER
  • CLIA Number: 05D1001531
  • Address: 8735 SIERRA COLLEGE BLVD STE 200
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 773-3376

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NPI Details

SCOTT B HEARTH, MD is a specialist in Roseville, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SCOTT B HEARTH, MD NPI is 1871908277. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cosmetic Dermatology Center.

The provider's business location address is:

8735 SIERRA COLLEGE BLVD STE 200
ROSEVILLE, CA
ZIP 95661-992
Phone: (916) 773-3376

The provider's authorized official is Michelle Estes .
The authorized official title is Billing Specialist and has the following contact phone number (916) 773-3376.

The CLIA number assigned to this NPI record is 05D1001531 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2014 and was last updated on 6/24/2014.

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
1174400000XSpecialistA68814CALIFORNIAYes

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
1G73394MEDICARE UPINCALIFORNIA

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

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