Individual provider Active NPI

Catherine J Payson, MD

  • Pediatrics Physician
  • La Jolla, CA
National Provider Identifier
1225098973
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G45380 Issued in CA
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

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
411372MedicaidAZ

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

LicenseStateTypeSpecialty
45380CAMDDentist
G45380CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Aug 15, 2000 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.

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.

Verify at the official NPI Registry.