Active NPI
Paul Howard Key, MD
- Gastroenterology Physician
- Culver City, CA
National Provider Identifier
1013945328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A26127
- Practice address
- 9808 Venice Blvd
Suite 503
Culver City, CA 90232-2732 - Phone
- (310) 836-7414
- Fax
- (310) 836-7485
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A26127 | CA | Primary |
Addresses
Primary practice location
9808 Venice Blvd
Suite 503
Culver City, CA 90232-2732
Mailing address
5805 White Oak Ave
Unit #18601
Encino, CA 91416-5128
Phone (310) 836-7414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A261270 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180417003016 | CA | Order and Referring Only - Internal Medicine | 8820141781 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26127 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1013945328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 WHITE OAK AVE",
"address_2": "UNIT #18601",
"city": "ENCINO",
"state": "CA",
"postal_code": "914165128",
"telephone_number": "310-836-7414",
"fax_number": "310-836-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD",
"address_2": "SUITE 503",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322732",
"telephone_number": "310-836-7414",
"fax_number": "310-836-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "PAUL",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A26127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A261270",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.