SCOTT KEVIN ISHMAEL (PA-C) – Medical Physician Assistant, NPI 1073701322

Medical Physician Assistant

SCOTT KEVIN ISHMAEL (PA-C) is a healthcare provider. based in Folsom, California. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA18592 (CA). The NPI Number for SCOTT KEVIN ISHMAEL (PA-C) is 1073701322

Main info

Male

Sole Proprietor

20 Years Of Experience

Accepts Medicare Assignment

Name

SCOTT KEVIN ISHMAEL (PA-C)

NPI

1073701322

Phone

(530) 409-5755

Address

1350 BROADSTONE PKWY

Enumeration Date

11 October 2007

Last Update Date

11 October 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2094762000

Graduation Year

2006 (20 years ago)

PAC ID

3971731621

Group Practice PAC ID

8921910225

Professional Enrollment ID

I20140102001091

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience50

Completeness75

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SCOTT KEVIN ISHMAEL (PA-C)

Broadstone Parkway, Folsom, Sacramento County, California, 95762, United States
APPT 3622
FOLSOM, CA 956308478
Phone: (530) 409-5755
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8921910225View full group profile

Name	Specialty	State
EMILY JEAN SIEGEL (MD)	Emergency Medicine	DC
DANIELLE M PICKHAM (M.D.)	Colorectal Surgery (Proctology), General Surgery	LA
MICHAEL W CHEN (M.D.)	-	CA
DR. JUSTIN LEE MASSENGALE (M.D.)	N E U R O S U R G E R Y	MA
HUI WU (MD)	Internal Medicine	CA
MRS. SHARLENE JUNIO MADANES (N.P.)	Nurse Practitioner	CA
ASSEFA WORKU (MD)	Internal Medicine	CA
DANIEL MANTUANI (M.D.)	Emergency Medicine	CA
SARA WON (MD)	-	MA
DR. CHRISTOPHER RAFIE (M.D)	Emergency Medicine	CA

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Frequently asked questions

What is the registry number for SCOTT KEVIN ISHMAEL (PA-C)?

The registry entry for SCOTT KEVIN ISHMAEL (PA-C) shows NPI 1073701322.

Is SCOTT KEVIN ISHMAEL (PA-C)'s NPI status active today?

Active status means SCOTT KEVIN ISHMAEL (PA-C)'s NPI record is not deactivated in the public file.

What services align with SCOTT KEVIN ISHMAEL (PA-C)'s listing?

SCOTT KEVIN ISHMAEL (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Is SCOTT KEVIN ISHMAEL (PA-C) tied to Folsom, California?

If you are local to Folsom, California, SCOTT KEVIN ISHMAEL (PA-C) may be relevant to your search.

Who maintains SCOTT KEVIN ISHMAEL (PA-C)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.