Active NPI
Paul Frederick Gaiser, PSYD
- Psychologist
- Oakland, CA
National Provider Identifier
1275654824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20325
- Practice address
- 230 Grand Ave
#304
Oakland, CA 94610-4589 - Phone
- (510) 286-7619
- Fax
- (510) 533-0300
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 17324 | CA | |
| Psychologist | 103T00000X | 20325 | CA | Primary |
Addresses
Primary practice location
230 Grand Ave
#304
Oakland, CA 94610-4589
Mailing address
230 Grand Ave
#304
Oakland, CA 94610-4589
Phone (510) 286-7619
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20325 | CA | MD | Psychologist |
| 17324 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1275654824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GRAND AVE",
"address_2": "#304",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104589",
"telephone_number": "510-286-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GRAND AVE",
"address_2": "#304",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104589",
"telephone_number": "510-286-7619",
"fax_number": "510-533-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAISER",
"first_name": "PAUL",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "17324",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "20325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 Deer Valley Rd",
"city": "Antioch",
"state": "CA",
"country_code": "US",
"postal_code": "945318577",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.