Individual provider Active NPI

Paul Maistros, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Fountain Valley, CA
National Provider Identifier
1275532301
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A44496 Issued in CA
Practice address
11160 Warner Ave
Suite 121
Fountain Valley, CA 92708-4008
Phone
(714) 437-1246
Fax
(714) 437-1354
NPI assigned
Jul 20, 2005
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A44496 CA Primary

Addresses

Primary practice location

11160 Warner Ave
Suite 121
Fountain Valley, CA 92708-4008

Mailing address

PO Box 20139
Fountain Valley, CA 92728-0139
Phone (714) 437-1246

Other identifiers 1

IdentifierTypeStateIssuer
00A444961MedicaidCA

Other names 1

  • Dr. Paul Maistros Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001836 CA Practitioner - NeurologyPractitioner - Other (Physician) 1759373350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11160 Warner Ave
Suite 121
Fountain Valley, CA 92708-4010
Phone (714) 437-1246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44496CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Maistros, M.D.,Inc. Sleep Medicine CurrentSince Jan 14, 2012 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

11160 Warner Ave
Ste 121
Fountain Vly, CA 92708
Phone (714) 437-1246

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1275532301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20139",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280139",
            "telephone_number": "714-437-1246",
            "fax_number": "714-437-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 121",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084008",
            "telephone_number": "714-437-1246",
            "fax_number": "714-437-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISTROS",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A44496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A444961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "MAISTROS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.