Paula A Proffitt, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G040787 Issued in CA

Practice address

550 W Vista Wy
#407
Vista, CA 92083

Phone

(760) 758-1092

Fax

(760) 758-8481

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Exodus Recovery Inc

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1245441906
  Medicare reassignment NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1174300412
  NPD
• Exodus Recovery, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1831434000
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063580587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W VISTA WY",
            "address_2": "#407",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-758-1092",
            "fax_number": "760-758-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VISTA WY",
            "address_2": "#407",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "760-758-1092",
            "fax_number": "760-758-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "PAULA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G040787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prachi Patel DO Inc
• Brittany Pralle
• Premier Surgical Partners Inc
• Ana Maria Preston, NP
• Madeline R Price, NP
• Irina F Proshkina, M.D.
• Sharon Provenzano, RDH
• Psycare, Inc.
• Psychology Consulting, Professional Corporation
• Psychology Consulting, Professional Corporation

• Psychiatry Physician in Vista, CA
• Providers in Vista, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.