Individual provider Active NPI

Paul M Little, MD

  • Addiction Medicine (Family Medicine) Physician
  • Murrieta, CA
National Provider Identifier
1144319211
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
C53673 Issued in CA
Practice address
40700 California Oaks Rd Ste 202
Murrieta, CA 92562-5789
Phone
(951) 894-5072
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18440 WV
Addiction Medicine (Family Medicine) Physician 207QA0401X C53673 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd Ste 202
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd Ste 202
Murrieta, CA 92562-5789
Phone (951) 894-5072

Other practice location 1

3230 Waring Ct Ste A
Oceanside, CA 92056-4509
Phone (760) 305-7528

Other identifiers 3

IdentifierTypeStateIssuer
3810002682MedicaidWV
P00404573OtherWVRR MEDICARE
001713996OtherWVBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20041025001022 WV Practitioner - Family PracticePractitioner - Addiction Medicine 5395706006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18440WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tug River Health Association, Inc CurrentSince Nov 1, 2005 Accepting new patients
Tug River Health Association, Inc CurrentSince Nov 1, 2005 Accepting new patients
Soap Mat, LLC CurrentSince Oct 3, 2022 Accepting new patients
Soap Mat, LLC Past Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients

Locations

3230 Waring Ct
Ste A
Oceanside, CA 92056
Phone (760) 305-7528

6425 University Ave
San Diego, CA 92115
Phone (760) 305-7528

1939 W Vista Way
Vista, CA 92083
Phone (760) 305-7528

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1144319211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 202",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-894-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 202",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-894-5072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Waring Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564509",
            "country_code": "US",
            "telephone_number": "760-305-7528",
            "fax_number": "760-509-4410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18440",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "C53673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002682",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00404573",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001713996",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.