Active NPI
Paul D Hartman, M.D.
- Dermatology Physician
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G50408
- Practice address
- 1800 Sullivan Ave
Suite 301
Daly City, CA 94015-2228 - Phone
- (650) 991-3444
- Fax
- (650) 991-3465
- NPI assigned
- Jul 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G50408 | CA | Primary |
| Dermatopathology Physician | 207ND0900X | 00G504080 | CA |
Addresses
Primary practice location
1800 Sullivan Ave
Suite 301
Daly City, CA 94015-2228
Mailing address
1800 Sullivan Ave
Suite 301
Daly City, CA 94015-2228
Phone (650) 991-3444
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100803000248 | CA | Practitioner - Dermatology | 3173656725 | Practice locations: Burlingame, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Southern California Keck School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1828 El Camino Real
Suite 402
Burlingame, CA 94010-3115
Phone (650) 697-7643
1860 El Camino Real
Suite 401
Burlingame, CA 94010-3117
Phone (650) 991-3444
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 22 |
| Removal of skin lesions | 433 |
| Skin biopsy | 150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G50408 | CA | MD | Dermatology Physician |
| 00G504080 | CA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Palo Alto Medical Foundation | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Interoperability endpoints
- phartman244774@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
dba Sutter Sant Cruz Main 4th Floor
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mills-Peninsula Medical Center
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
dba Menlo Park Surgical Hospital
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1255331161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE",
"address_2": "SUITE 301",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152228",
"telephone_number": "650-991-3444",
"fax_number": "650-991-3465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SULLIVAN AVE",
"address_2": "SUITE 301",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152228",
"telephone_number": "650-991-3444",
"fax_number": "650-991-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "PAUL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G50408",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "00G504080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.