Paul Michael Mendelman, MD

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

G29555 Issued in CA

Practice address

838 Esplanada Way
Stanford, CA 94305-1015

Phone

(406) 451-3132

NPI assigned

Sep 13, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1295457687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 ESPLANADA WAY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943051015",
            "telephone_number": "406-451-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 ESPLANADA WAY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943051015",
            "telephone_number": "406-451-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELMAN",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G29555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Arthur Mele, MD
• Michelle Susan Melendez, NP
• Matthew William Mell, M.D., F.A.C.S.
• Clara Jiayun Men, MD
• Jorge David Mena, MD
• Andres Eduardo Mendez-Hernandez, M.D.
• Michael Anthony Mendez, NP
• Natallia Zavadskaya Mendiratta, NP
• Mary Caroline Mendoza-Newman, PH.D.
• Julianne Marie Mendoza, MD

• Pediatric Infectious Diseases Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Pediatric Infectious Diseases Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.

Verify at the official NPI Registry.