SCOTT KEVIN ISHMAEL PA-C
NPI 1073701322
Physician Assistant - Medical in Folsom, CA

Active since October 11, 2007
1350 BROADSTONE PKWY, APPT 3622, FOLSOM, CA 95630(530) 409-5755 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Scott Kevin Ishmael Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT KEVIN ISHMAEL PA-C (NPI 1073701322) is an individual medical provider in Folsom, California, licensed in California (PA18592) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1073701322
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSCOTT KEVIN ISHMAELCredential: PA-C
Location Address1350 BROADSTONE PKWY, APPT 3622Folsom, CA 95630-8478
Mailing Address1350 Broadstone Pkwy, Appt 3622Folsom, CA 95630-8478 · (530) 409-5755
Sole ProprietorYes
Enumeration DateOctober 11, 2007
NPI 1073701322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA18592
1350 BROADSTONE PKWY, Folsom, CA 95630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Ishmael's NPI number?

The NPI number for Scott Ishmael is 1073701322. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Scott Ishmael located?

Scott Ishmael practices at 1350 Broadstone Pkwy Appt 3622, Folsom, CA 95630. The listed phone number is (530) 409-5755.

What is Scott Ishmael's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Scott Ishmael was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.