Active NPI
Catherine J Payson, MD
- Pediatrics Physician
- La Jolla, CA
National Provider Identifier
1225098973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G45380
- Practice address
- 5726 La Jolla Blvd Unit 3a
La Jolla, CA 92037 - Phone
- (858) 459-5437
- NPI assigned
- Mar 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G45380 | CA | |
| Anesthesiology Physician | 207L00000X | MD2017-0151 | NM | |
| Pediatrics Physician | 208000000X | G45380 | CA | Primary |
Addresses
Primary practice location
5726 La Jolla Blvd Unit 3a
La Jolla, CA 92037
Mailing address
7411 Herschel Ave Unit 3a
La Jolla, CA 92037-5107
Other practice location 1
5471 Kearny Villa Rd Ste 100
San Diego, CA 92123-1141
Phone (858) 560-4567
Other practice location 2
8929 University Center Ln Ste 103
San Diego, CA 92122-1007
Phone (858) 554-0220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411372 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45380 | CA | MD | Dentist |
| G45380 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Specialists of Albuquerque | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Arizona Inc | Anesthesiology | Past | Accepting new patients |
| Southern Arizona Anesthesia Services, PC | Anesthesiology | Past | Accepting new patients |
| Old Pueblo Anesthesia | Anesthesiology | Past | Accepting new patients |
| Arizona Womens Imaging | Past | Accepting new patients | |
| TMC Medical Network | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1831104215
-
- Specialist
- Tucson, AZ
- NPI 1578515672
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1194770768
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1598740383
Anesthesiology
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1912999343
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1225098973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 HERSCHEL AVE UNIT 3A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920375107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5726 LA JOLLA BLVD UNIT 3A",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-459-5437"
}
],
"practiceLocations": [
{
"address_1": "5471 Kearny Villa Rd Ste 100",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921231141",
"country_code": "US",
"telephone_number": "858-560-4567",
"fax_number": "858-560-4410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8929 University Center Ln Ste 103",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921221007",
"country_code": "US",
"telephone_number": "858-554-0220",
"fax_number": "858-554-0458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYSON",
"first_name": "CATHERINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-26",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G45380",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "MD2017-0151",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G45380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411372",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.