Active NPI
Paula Witherspoon, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1235367327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A139073
- Practice address
- 34520 Bob Wilson Dr
Department of Pediatrics
San Diego, CA 92134-2030 - Phone
- (619) 532-7070
- NPI assigned
- Jun 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 252650 | MA | |
| Pediatrics Physician | 208000000X | A139073 | CA | Primary |
Addresses
Primary practice location
34520 Bob Wilson Dr
Department of Pediatrics
San Diego, CA 92134-2030
Mailing address
34520 Bob Wilson Dr
Department of Pediatrics
San Diego, CA 92134-2030
Phone (619) 532-7070
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 |
|---|---|---|---|
| A139073 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1235367327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34520 BOB WILSON DR",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342030",
"telephone_number": "619-532-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 BOB WILSON DR",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342030",
"telephone_number": "619-532-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "PAULA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "252650",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A139073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.