SCOTT C. MCQUEEN PA-C
NPI 1629064878
Physician Assistant - Medical in Santa Ana, CA

Q: What is Scott Mcqueen's NPI number?

The NPI number for Scott Mcqueen is 1629064878. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Scott Mcqueen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Scott Mcqueen was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 23, 2005PECOS Enrolled

1206 E 17TH ST STE 101, SANTA ANA, CA 92701(714) 352-2911(714) 380-6235 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Scott C. Mcqueen Pa-c NPPES

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

SCOTT C. MCQUEEN PA-C (NPI 1629064878) is an individual medical provider in Santa Ana, California, licensed in California (PA13655) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Ana.

NPPES Registry Identity

NPI1629064878

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSCOTT C. MCQUEENCredential: PA-C

Location Address1206 E 17TH ST STE 101Santa Ana, CA 92701

Mailing Address1206 E 17th St Ste 101Santa Ana, CA 92701-2641 · (714) 352-2911 · Fax (714) 380-6235

Phone(714) 352-2911

Fax(714) 380-6235

Sole ProprietorNo

Enumeration DateSeptember 23, 2005

Last NPPES UpdateMay 31, 2019

✔ NPI 1629064878 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 · PA13655

1206 E 17TH ST STE 101, Santa Ana, CA 92701

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Secondary Practice Location 1

Location 11206 E 17th Street Suite 101Santa Ana, CA 92701-2641 · Phone (714) 352-2911 ext. 108 · Fax (714) 352-2903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott C. Mcqueen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. GARIMA SHUKLA DMD

Dentist (General Practice)