Paul Wallace Porter, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

33060 Issued in CA

Practice address

2248 Park Blvd.
Palo Alto, CA 94306

Phone

(650) 328-4411

NPI assigned

Sep 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Paul Michael Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1083082804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 PARK BLVD.",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-328-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 PARK BLVD.",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-328-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "PAUL",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33060",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "33060",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "33060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "COOK",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rajdeep Pooni, MD
• Gerald R Popelka, PH.D.
• Laura Susan Popovich, NNP-BC
• Richard L Popp, M.D.
• Brenda Elaine Porter, M.D.
• Matthew Hebden Porteus, MD
• Katherine Ann Portugal, O.D.
• Anne Margaret Porzig, M.D.
• Rhonda Mae Post, PHARM.D.
• Abigail Drew Pothen, WHNP, APRN

• Internist Chiropractor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Internist Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.