Active NPI
Russell K Paul, MD
- Vascular & Interventional Radiology Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G88519
- Practice address
- 9602 Stockdale Hwy
Bakersfield, CA 93311-3618 - Phone
- (608) 276-5882
- Fax
- (800) 509-9882
- NPI assigned
- Mar 9, 2006
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | G88519 | CA | Primary |
Addresses
Primary practice location
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Mailing address
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (608) 276-5882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34489000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Howard University College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Chester Ave
Bakersfield, CA 93301-2014
9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000
Hospital & facility affiliations
- Adventist Health Bakersfield
- Adventist Health Delano
- Adventist Health Tehachapi Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.35 of 100
- Quality
- 53.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 63.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88519 | CA | MD | Pharmacist |
| G88519 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Adventist Health Physicians Network | Past | Accepting new patients |
Locations
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000
9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785
1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000
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.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
-
- Rural Health Clinic/Center
- Mojave, CA
- NPI 1508175431
-
- Rural Health Clinic/Center
- California City, CA
- NPI 1699084525
-
- Home Health Agency
- Bakersfield, CA
- NPI 1740278720
-
- General Practice Physician
- Bakersfield, CA
- NPI 1396043683
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delano, CA
- NPI 1144237272
-
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1245208727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9602 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113618",
"telephone_number": "608-276-5882",
"fax_number": "800-509-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 STOCKDALE HWY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113618",
"telephone_number": "608-276-5882",
"fax_number": "800-509-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "RUSSELL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G88519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34489000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.