Active NPI
Paula A Meyer, PA
- Physician Assistant
- Whittier, CA
National Provider Identifier
1255373783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12733
- Practice address
- 12401 Washington Blvd
Whittier, CA 90602-1006 - Phone
- (562) 698-0811
- Fax
- (818) 587-2493
- NPI assigned
- Jun 11, 2006
- Last updated
- Nov 11, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12733 | CA | Primary |
Addresses
Primary practice location
12401 Washington Blvd
Whittier, CA 90602-1006
Mailing address
PO Box 4419
Woodland Hills, CA 91365-4419
Phone (800) 506-6895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00147251 | Other | CA | RAILROAD MEDICARE |
| PA12733 | Medicaid | CA |
Other names 1
- Paula A Spofford
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12733 | CA | MD | Optometrist |
| PA12733 | CA | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1255373783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4419",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913654419",
"telephone_number": "800-506-6895",
"fax_number": "818-587-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021006",
"telephone_number": "562-698-0811",
"fax_number": "818-587-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "PAULA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00147251",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA12733",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "SPOFFORD",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.