Paul Jean Loo Dwight

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61852 Issued in CA

Practice address

201 Dolores Ave
San Leandro, CA 94577-5007

Phone

(510) 984-2489

Fax

(510) 788-6830

NPI assigned

May 15, 2021

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cura VitaeGroup PAC ID 6002325834, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cura Vitae

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Concord, CA
  • NPI 1689490948
  Medicare reassignment Care Compare group NPD
• Carbon Health Medical Group of California PC

  dba Carbon Health

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232
  Medicare reassignment NPD
• County of Santa Clara

  dba Valley Health Center Alexian

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1629301346
  Medicare reassignment NPD
• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• County of Santa Clara

  dba SCVMC Physician Services

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1588721500
  Medicare reassignment
• County of Santa Clara

  dba Josefina Narvaez Mental Health Center MH Aoa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment
• Advanced Sleep Diagnostics, Inc.

  • Sleep Medicine (Otolaryngology) Physician
  • Walnut Creek, CA
  • NPI 1295274488
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Glendora, CA
  • NPI 1043684764
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Reedley, CA
  • NPI 1609143452
  NPD

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1083288914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775007",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOLORES AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775007",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946112813",
            "country_code": "US",
            "telephone_number": "510-984-2489",
            "fax_number": "510-788-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIGHT",
        "first_name": "PAUL",
        "middle_name": "JEAN LOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Alexander Pinette Durst
• Wendy Alison Durst
• Timothy George Dutra, DPM
• Allison Eileen Cleary Dutton Stills
• Sylvia Dwa, RRT
• Gregory W Dy, AMFT
• Heather M. Dy, C.N.M.
• Bhuwanashwar Dyal
• Paul E. Dybbro, MD
• Rebecca Dyer

• Physician Assistant in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.