Individual provider Active NPI

Paul Michael Whyte, MD

  • Pediatrics Physician
  • Simi Valley, CA
National Provider Identifier
1285628669
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G34659 Issued in CA
Practice address
2755 Alamo St.
Suite 100
Simi Valley, CA 93065-1345
Phone
(805) 210-7280
Fax
(805) 210-7281
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G34659 CA Primary

Addresses

Primary practice location

2755 Alamo St.
Suite 100
Simi Valley, CA 93065-1345

Mailing address

2755 Alamo St.
Suite 100
Simi Valley, CA 93065-1345
Phone (805) 210-7280

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G34659CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Pediatrics Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: paul.whyte.p20@direct.regal.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1285628669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST.",
            "address_2": "SUITE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651345",
            "telephone_number": "805-210-7280",
            "fax_number": "805-210-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST.",
            "address_2": "SUITE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651345",
            "telephone_number": "805-210-7280",
            "fax_number": "805-210-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYTE",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G34659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.