Individual provider Active NPI

Paula Staci Josephson Shulman, MD, MPH

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
National Provider Identifier
1053572107
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A110038 Issued in CA
Practice address
1301 20TH St Ste 270
Santa Monica, CA 90404-2053
Phone
(310) 828-8585
Fax
(310) 453-4844
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A110038 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1301 20TH St Ste 270
Santa Monica, CA 90404-2053

Mailing address

3849 Tilden Ave Apt 2
Culver City, CA 90232-3976
Phone (310) 202-1771

Other practice location 1

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 582-7312

Other practice location 2

1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2345

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pjosephsonshulman473534@oc.providencedirect.org

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
I20121011000412 CA Practitioner - Obstetrics/Gynecology 0042469801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians

Practice addresses (Care Compare)

12555 W Jefferson Blvd
Los Angeles, CA 90066-7032

1301 20TH St
Santa Monica, CA 90404-2053

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

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
A110038CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Jul 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2013 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jul 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Oct 1, 2013 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

1301 20th St
Ste 270
Santa Monica, CA 90404
Phone (310) 828-8585

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: paula.shulmanmd.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 4

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1053572107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 TILDEN AVE APT 2",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323976",
            "telephone_number": "310-202-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 270",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-828-8585",
            "fax_number": "310-453-4844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042303",
            "country_code": "US",
            "telephone_number": "310-582-7312",
            "fax_number": "310-315-6118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPHSON SHULMAN",
        "first_name": "PAULA",
        "middle_name": "STACI",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A110038",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pjosephsonshulman473534@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 270",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.