NPIMap

Individual provider Active NPI

Paul Swanson

  • Emergency Medicine Physician
  • Portola, CA
National Provider Identifier
1316945249
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G66545 Issued in CA
Practice address
500 1St Ave
Portola, CA 96122-9406
Phone
(530) 832-6500
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G66545 CA Primary

Addresses

Primary practice location

500 1St Ave
Portola, CA 96122-9406

Mailing address

500 1St Ave
Portola, CA 96122-9406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041218000071 CA Practitioner - Emergency Medicine 7416914940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Plumas Health Care District 31 clinicians

Practice addresses (Care Compare)

480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600

500 1St Ave
Portola, CA 96122-9406

Hospital & facility affiliations

  • Eastern Plumas Hospital - Portola Campus Hospital, Portola, CA, CCN 051300
  • Eastern Plumas Hospital - Portola Campus Nursing home, CCN 05Z300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G66545CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care District CurrentSince Aug 12, 2012 Accepting new patients
Eastern Plumas Health Care Home Health CurrentSince Aug 12, 2012 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients
Bakersfield Family Medical Group Inc Past Accepting new patients

Locations

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pswanson@ephc.securechart.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eastern Plumas Health CarePortola, CA, CCN 051300 Hospital Corporate Director Jan 1, 2014
Eastern Plumas Health Care DistrictPortola, CA, CCN 05Z300 Hospital Corporate Director Jan 3, 2014
Eastern Plumas Health CarePortola, CA, CCN 555433 Skilled nursing facility Corporate Director Jan 1, 2014
Eastern Plumas Health Care DistrictLoyalton, CA, CCN 058597 Rural health clinic Corporate Director Dec 7, 2016
Eastern Plumas Health Care DistrictGraeagle, CA, CCN 553985 Rural health clinic Corporate Director Jun 1, 2013
Portola Medical ClinicPortola, CA, CCN 058522 Rural health clinic Corporate Director Jun 1, 2013

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1316945249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406",
            "telephone_number": "530-832-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G66545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola, CA

Sources for this page

Verify at the official NPI Registry.