Active NPI
Paul Mishyn, DO
- Diagnostic Radiology Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20A22328
- Practice address
- 1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941 - Phone
- (916) 535-2030
- Fax
- (916) 536-3061
- NPI assigned
- Mar 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20A22328 | CA | Primary |
Addresses
Primary practice location
1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030
155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677
1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200
1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 668-2600
2110 Professional Dr
Roseville, CA 95661-3779
2528 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 528-6100
2580 Sister Mary Columba Dr
Suite 200
Red Bluff, CA 96080-4327
Phone (530) 528-6150
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414
6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (916) 535-2000
632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600
6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190
6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300
6555 Coyle Ave
Carmichael, CA 95608-0302
7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176
Hospital & facility affiliations
- Mercy San Juan Medical Center
- Mercy General Hospital
- Methodist Hospital of Sacramento
- Mercy Hospital of Folsom
- Mercy Medical Center Redding
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22328 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Yale University | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Sierra Nevada Memorial-Miners Hospital | Past | Accepting new patients | |
| Catholic Healthcare West | Past | Accepting new patients | |
| Yale New Haven Hospital | Past | Accepting new patients |
Locations
6511 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5470
6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920
7115 Greenback Ln
Fl 1
Citrus Heights, CA 95621
Phone (916) 536-2442
8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750
1050 Iron Point Rd
Folsom, CA 95630
Phone (916) 365-8484
1635 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 893-5611
1635 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 986-5200
2020 Court St
Redding, CA 96001
Phone (530) 243-1236
2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030
2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404
3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
55 Lock St
New Haven, CT 06511
Phone (203) 432-0076
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Institutional Pharmacy
- Red Bluff, CA
- NPI 1265472914
-
- Skilled Nursing Facility
- Mount Shasta, CA
- NPI 1376535344
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- Psychiatric Hospital Unit
- New Haven, CT
- NPI 1427100957
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Folsom, CA
- NPI 1356389878
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1295239143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 LEAD HILL BLVD STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612941",
"telephone_number": "916-535-2030",
"fax_number": "916-536-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHYN",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "20A22328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.