Active NPI
Paul K Pawlowski, M.D.
- Psychiatry Physician
- Long Beach, CA
National Provider Identifier
1235405804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A141809
- Practice address
- 456 Elm Ave
Long Beach, CA 90802-2426 - Phone
- (562) 437-6717
- Fax
- (562) 437-5072
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A141809 | CA | Primary |
Addresses
Primary practice location
456 Elm Ave
Long Beach, CA 90802-2426
Mailing address
3756 W Ave 40
Suite K, #181
Los Angeles, CA 90065
Phone (323) 366-5352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141809 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1235405804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 W AVE 40",
"address_2": "SUITE K, #181",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90065",
"telephone_number": "323-366-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 ELM AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908022426",
"telephone_number": "562-437-6717",
"fax_number": "562-437-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLOWSKI",
"first_name": "PAUL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A141809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.