Provider Demographics
NPI:1912317058
Name:SCOTT, ALVIN JR (CAMS-II, CDAAC, RASC)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:
Last Name:SCOTT
Suffix:JR
Gender:M
Credentials:CAMS-II, CDAAC, RASC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 E SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95963-9136
Mailing Address - Country:US
Mailing Address - Phone:530-865-1146
Mailing Address - Fax:530-865-6483
Practice Address - Street 1:1187 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-9136
Practice Address - Country:US
Practice Address - Phone:530-865-1146
Practice Address - Fax:530-865-6483
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator