Paul S. Dwan, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G048691 Issued in CA

Practice address

962 Chautauqua Blvd
Pacific Palisades, CA 90272-3804

Phone

(310) 567-0401

Fax

(310) 567-0401

NPI assigned

Jul 18, 2006

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 17, 2019 through Aug 17, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Brian R. Gantwerker, M.D., a Medical Corporation

  dba The Craniospinal Center of Los Angeles

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1639475759
  NPD (past)
• Hooman M Melamed MD a Prof Corp

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1578754826
  NPD (past)
• J Ronald Rich MD Inc

  dba Bay Neurosurgical Group

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1295912020
  NPD (past)
• Susan E Sprau MD a Professional Corporation

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1801088117
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1275551897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 CHAUTAUQUA BLVD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723804",
            "telephone_number": "310-567-0401",
            "fax_number": "310-567-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 CHAUTAUQUA BLVD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723804",
            "telephone_number": "310-567-0401",
            "fax_number": "310-567-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWAN",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G048691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Leda Donowho, NP-C
• Dr Laure Weber a Psychological Corporation
• Dr. Gary D. Polan, OD
• Dr. William Francis D.D.S.
• Drpalidental Inc.
• Elisabeth Dzhandzhikyan
• Deanna Gale Emad, M.A. MFT
• Eoccmed.Com
• Julie Erickson
• Evolving Pathways Inc.

• Neurological Surgery Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.