Active NPI
Paul F White, MD PHD
- Anesthesiology Physician
- The Sea Ranch, CA
National Provider Identifier
1164537502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J3263
- Practice address
- 41299 Tallgrass
The Sea Ranch, CA 95497-0016 - Phone
- (214) 770-3775
- Fax
- (214) 770-3775
- NPI assigned
- Aug 19, 2006
- Last updated
- Jun 10, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J3263 | TX | Primary |
Addresses
Primary practice location
41299 Tallgrass
The Sea Ranch, CA 95497-0016
Mailing address
144 Ashby LN
Los Altos, CA 94022-1615
Phone (650) 559-1754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105910701 | Medicaid | TX |
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
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3263 | TX | MD | Anesthesiology Physician |
| 00000 | TX | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1164537502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 ASHBY LN",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221615",
"telephone_number": "650-559-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41299 TALLGRASS",
"city": "THE SEA RANCH",
"state": "CA",
"postal_code": "954970016",
"telephone_number": "214-770-3775",
"fax_number": "214-770-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "PAUL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J3263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105910701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in The Sea Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.