NPIMap

Individual provider Active NPI

Paul J Murata, M.D.

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1053363499
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48272 Issued in CA
Practice address
21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-5970
Phone
(310) 792-4400
Fax
(310) 542-5805
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G48272 CA Primary

Addresses

Primary practice location

21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-5970

Mailing address

21311 Madrona Ave
Suite 100-a
Torrance, CA 90503-4352
Phone (310) 792-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmurata196711@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000729 CA Practitioner - Family Practice 0941301998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

Laguna Niguel, CA 92677

21311 Madrona Ave
Torrance, CA 90503-5970

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48272CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Family Medicine Current Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Feb 1, 1996 Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Feb 1, 1996 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pmurata196711@oc.providencedirect.org

Organizations & group practices 5

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1053363499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "SUITE 100-A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034352",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "SUITE 100-A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATA",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmurata196711@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "21311 Madrona Ave",
            "address_2": "Suite 100-A",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905035970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.