MR. SCOTT MATHEWS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174733158

MR. SCOTT MATHEWS (CRNA) is a healthcare provider. based in Harbor city, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 568376 (CA). The NPI Number for MR. SCOTT MATHEWS (CRNA) is 1174733158

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. SCOTT MATHEWS (CRNA)
NPI
1174733158
Phone
(310) 517-2585
Address
25825 VERMONT AVE
Enumeration Date
22 May 2007
Last Update Date
1 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9499325000
Graduation Year
2006 (20 years ago)
PAC ID
8628139615
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20081209000669
Address ID
CA926183734IR6670XPKWY300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,470 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for MR. SCOTT MATHEWS (CRNA)

  • Vermont Avenue, South Los Angeles, Harbor Gateway, Los Angeles, Los Angeles County, California, 90047-4899, United States

    HARBOR CITY, CA 907103518

    Phone: (310) 517-2585

    Type: Location

  • 5252, Allstone Drive, Huntington Beach, Orange County, California, 92649, United States

    HUNTINGTON BEACH, CA 926494709

    Phone:

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000669ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 90710)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

What number should I use to identify MR. SCOTT MATHEWS (CRNA) for billing?
Administrative and clinical systems typically use NPI 1174733158 for MR. SCOTT MATHEWS (CRNA).
Is MR. SCOTT MATHEWS (CRNA)'s NPI status active today?
Active status means MR. SCOTT MATHEWS (CRNA)'s NPI record is not deactivated in the public file.
What type of care does MR. SCOTT MATHEWS (CRNA) provide?
MR. SCOTT MATHEWS (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. SCOTT MATHEWS (CRNA) tied to Harbor City, California?
If you are local to Harbor City, California, MR. SCOTT MATHEWS (CRNA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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