Individual provider Active NPI

Paul J Marguglio

  • Internal Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1023045861
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G27723 Issued in CA
Practice address
1312 Prentice Drive
Healdsburg, CA 95448-3381
Phone
(707) 433-3383
Fax
(707) 433-7210
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G27723 CA Primary

Addresses

Primary practice location

1312 Prentice Drive
Healdsburg, CA 95448-3381

Mailing address

1312 Prentice Drive
Healdsburg, CA 95448-3381
Phone (707) 433-3383

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000234 CA Practitioner - Internal Medicine 7810067808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27723CAMDClinical Social Worker
G27723CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pmargugl@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1023045861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGUGLIO",
        "first_name": "PAUL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G27723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.