SCOTT HAITSUKA LCSW
NPI 1710499199
Social Worker - Clinical in Long Beach, CA
About Scott Haitsuka Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT HAITSUKA LCSW (NPI 1710499199) is an individual clinical provider in Long Beach, California, licensed in California (75745) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Scott Haitsuka Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Scott Haitsuka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90028
- Reassigned Medicare billing, California enrollment
- 110 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LONG BEACH, CA 90814
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 Haitsuka's NPI number?
The NPI number for Scott Haitsuka is 1710499199. It was assigned to this individual provider in the NPPES registry on October 25, 2017.
Where is Scott Haitsuka located?
Scott Haitsuka practices at 370 Wisconsin Ave Unit 101, Long Beach, CA 90814. The listed phone number is (415) 282-8967.
What is Scott Haitsuka's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Scott Haitsuka enrolled in Medicare?
Yes. Scott Haitsuka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Scott Haitsuka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Haitsuka reassigns Medicare benefits to Los Angeles Lgbt Center (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Haitsuka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Scott Haitsuka was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Scott Haitsuka, LCSW · NPI 1710499199
Clinical provider in Long Beach, California. Individual provider, active in the CMS NPPES registry since October 25, 2017.
## Identity
- **NPI:** 1710499199 (Entity type: Individual)
- **Enumerated:** October 25, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 75745 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 370 WISCONSIN AVE UNIT 101, Long Beach, CA 90814-6728
- **Phone:** (415) 282-8967
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Los Angeles Lgbt Center (NPI 1548298532, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1710499199) · Data from the CMS NPPES public registry.