Scott Stack , CPO
Prosthetist • San Francisco, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Scott Stack has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Scott Stack, CPO was a registered Prosthetist practicing in San Francisco, CA. Throughout an active medical career spanning 4 years, Scott Stack provided care at the practice location at 4150 CLEMENT ST until profile deactivation on 2026-02-19.
Practice Location & Contact Primary Location
4150 Clement St
San Francisco, CA 941211563
Specialty Benchmarks & Practice Insights
Comparative analytics for Prosthetist in San Francisco, CA
Practicing in San Francisco, CA (316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 224P00000X
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Student in an Organized Health Care Education/Training Program
Master of Arts
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Respiratory Therapist, Registered - Critical Care
Registered Respiratory Therapist, RCP
Respiratory Therapist, Registered
Registered Respiratory Therapist
Nurse Practitioner - Family
Nurse Practitioner
Social Worker - Clinical
Master of Social Work
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 19, 2026
NPI status registered as active in NPPES database
Registered at 4150 CLEMENT ST, SAN FRANCISCO, CA 941211563 (Tel: 4152214810)
Registered at 2004 MIDWAY DR, SANTA ROSA, CA 954054930
Recorded as SCOTT STACK, CPO
Prosthetist
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2004 Midway Dr
Santa Rosa, CA 954054930
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