Active NPI
Geraldine May Paulin, NP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1114629623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15315
- Practice address
- 450 Bauchet Street
8TH Floor, RM 873
Los Angeles, CA 90012-2907 - Phone
- (213) 893-5554
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15315 | CA | Primary |
Addresses
Primary practice location
450 Bauchet Street
8TH Floor, RM 873
Los Angeles, CA 90012-2907
Mailing address
450 Bauchet Street
8TH Floor, RM 873
Los Angeles, CA 90012-2907
Phone (213) 893-5554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1114629623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 BAUCHET STREET",
"address_2": "8TH FLOOR, RM 873",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122907",
"telephone_number": "213-893-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 BAUCHET STREET",
"address_2": "8TH FLOOR, RM 873",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122907",
"telephone_number": "213-893-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULIN",
"first_name": "GERALDINE",
"middle_name": "MAY",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.