Individual provider Active NPI

George K Paul, M.D.

  • Anesthesiology Physician
  • Greenbrae, CA
National Provider Identifier
1033265038
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A93035 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904
Phone
(415) 925-7100
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A93035 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904

Mailing address

PO Box 527
Larkspur, CA 94977-0527
Phone (415) 927-4070

Other practice location 1

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 642-8565 ext. 14

Other identifiers 1

IdentifierTypeStateIssuer
00A930350MedicaidCA

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
I20080115000254 CA Practitioner - Anesthesiology 5799866877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventura County Anesthesia Medical Group, Inc.Group PAC ID 7113173543, 16 clinicians

Practice addresses (Care Compare)

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.49 of 100Reported as group
Quality
35.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93035CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura County Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2012 Accepting new patients

Locations

3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1033265038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 527",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949770527",
            "telephone_number": "415-927-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3291 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93003",
            "country_code": "US",
            "telephone_number": "805-642-8565 x14",
            "fax_number": "805-642-8564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GEORGE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A93035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A930350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.