Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831145267 Individual Practitioner Male Practitioner

Scott A Edelstein , PA-C

Physician Assistant - Surgical • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Scott Edelstein, PA-C is a registered healthcare professional specializing in Physician Assistant - Surgical in Travis Afb, CA. Practice services are available at 101 BODIN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Bodin Cir
101 Bodin Cir

Travis Afb, CA 945351809

Telephone 7074232300
Associated Practice Facility / Clinic
🏢 60 Msgs Facility NPI 1306826953

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Travis Afb, CA (1088 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NC 0010-01875

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 009553

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02511360 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Cherie Renaud , MD

Internal Medicine - Pulmonary Disease

NPI 1013455377

Doctor of Medicine (M.D.)

Dr. Joseph Sky , MD

Internal Medicine - Cardiovascular Disease

NPI 1013986447

Doctor of Medicine (M.D.)

Dr. David Carlson , MD

Internal Medicine - Pulmonary Disease

NPI 1043292238

Doctor of Medicine (M.D.)

Dr. Matthew Tunzi , DO

Internal Medicine - Cardiovascular Disease

NPI 1043778921

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard Clark , MD

Internal Medicine - Cardiovascular Disease

NPI 1073718052

Doctor of Medicine (M.D.)

Yardana Gill , FNP

Nurse Practitioner

NPI 1154789154

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2015

Registered at 101 BODIN CIR, 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074232300)

📍
Updated Business Mailing Address December 15, 2015

Registered at 101 BODIN CIR, 60 MDG/SGCS, TRAVIS AFB, CA 945351809 (Tel: 7074232300)

👤
Provider Name / Credentials Updated December 15, 2015

Recorded as SCOTT EDELSTEIN, P.A-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Physician Assistant (License #009553 in NY)

🟢
Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831145267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: December 15, 2015
Sole Proprietor: No

Mailing Address

101 Bodin Cir, 60 Mdg/sgcs

Travis Afb, CA 945351809

Phone: 7074232300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.