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GEORGE C SCOTT MD
NPI 1396061776
Clinic/Center - Medical Specialty in Manteca, CA

Active since April 11, 2010CLIA 05D2007910 · Microscopy
1191 E YOSEMITE AVE, STE C, MANTECA, CA 95336(209) 239-4100(209) 239-4110 Get Directions Write a Review

NPPES record last updated: September 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About George C Scott Md NPPES

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

GEORGE C SCOTT MD (NPI 1396061776) is a healthcare organization registered as a medical specialty in Manteca, California and active in the NPI registry since April 2010. The organization holds a CLIA Microscopy certificate valid through May 27, 2028 and lists George C Scott, Owner, as its authorized official.

NPPES Registry Identity

NPI1396061776
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGEORGE C SCOTT MD
Location Address1191 E YOSEMITE AVE, STE CManteca, CA 95336-5011
Mailing Address1191 E Yosemite Ave, Ste CManteca, CA 95336-5011 · (209) 239-4100 · Fax (209) 239-4110
Phone(209) 239-4100
Fax(209) 239-4110
Organization SubpartNo
Authorized OfficialGeorge C ScottOwner · (415) 302-2506
Enumeration DateApril 11, 2010
Last NPPES UpdateSeptember 3, 2010
✔ NPI 1396061776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · G55402
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1191 E YOSEMITE AVE, Manteca, CA 95336
Open in Google Maps ↗

Other Identifiers 5

Medicaid2176339CA
Medicare PINDD732ACA
Medicaid00G554020CA
Medicare PINZZZ80852ZCA
Medicare UPINA52944CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2007910

George C Scott MD · Manteca, CA
Active · expires May 27, 2028
CLIA Number05D2007910
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorGeorge C. Scott
Laboratory Phone(209) 239-4100
Laboratory LocationGeorge C Scott MD210 N Fremont St, Manteca, CA 95336
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERLEEN K KAILEY M.D.
Pediatrics
1191 E YOSEMITE AVE, SUITE B
MANTECA, CA 95336
San Joaquin County (209) 823-8158
MICHAEL ARTHUR LUCAS P.T.
Physical Therapist
1191 E YOSEMITE AVE, SUITE A
MANTECA, CA 95336
San Joaquin County (209) 824-9888
MOOSA M LUNAT M.D.
Pediatrics
1191 E YOSEMITE AVE, SUITE B
MANTECA, CA 95336
San Joaquin County (209) 823-8158
JESSICA SONKE P.T.
Physical Therapist
1191 E YOSEMITE AVE, STE A
MANTECA, CA 95336
San Joaquin County (209) 824-9888
TOKHEIM CORBETT PHYSICAL THERAPY
Physical Therapist
1191 E YOSEMITE AVE, STE A
MANTECA, CA 95336
San Joaquin County (209) 579-5628
DR. RONALD RYO YAMADA M.D.
Orthopaedic Surgery
1191 E YOSEMITE AVE, STE 203
MANTECA, CA 95336
San Joaquin County (916) 989-1887
HALSEY CORBETT P.T.
Physical Therapist
1191 E YOSEMITE AVE
MANTECA, CA 95336
San Joaquin County (209) 824-9888
JOEL TOKHEIM P.T.
Physical Therapist
1191 E YOSEMITE AVE, SUITE A
MANTECA, CA 95336
San Joaquin County (209) 824-9888

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 George C Scott MD's NPI number?

The NPI number for George C Scott MD is 1396061776. It was assigned to this organization in the NPPES registry on April 11, 2010.

Where is George C Scott MD located?

George C Scott MD is located at 1191 E Yosemite Ave Ste C, Manteca, CA 95336. The listed phone number is (209) 239-4100.

What is George C Scott MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does George C Scott MD hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2007910) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for George C Scott MD was last updated on September 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.