Organization Active NPI

Matthew K. Paul, M.D., Inc.

Doing business as Matthew K., Paul, M.D.

  • Orthopaedic Surgery Physician
  • Redding, CA
National Provider Identifier
1346391141
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A94289 Issued in CA
Legal business name
MATTHEW K. PAUL, M.D., INC.
Doing business as
Matthew K., Paul, M.D.
Practice address
2662 Edith Ave
Redding, CA 96001-3043
Phone
(530) 242-1266
Fax
(530) 243-4205
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Matthew K. Paul, MD
Title
Doctor
Phone
(530) 242-1266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A94289 CA Primary

Addresses

Primary practice location

2662 Edith Ave
Redding, CA 96001-3043

Mailing address

2662 Edith Ave
Redding, CA 96001-3043
Phone (530) 242-1266

Other identifiers 1

IdentifierTypeStateIssuer
00A942890MedicaidCA

Other names 1

  • Matthew K., Paul, M.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1346391141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013043",
            "telephone_number": "530-242-1266",
            "fax_number": "530-243-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013043",
            "telephone_number": "530-242-1266",
            "fax_number": "530-243-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW K. PAUL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "530-242-1266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A94289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A942890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew K., Paul, M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew K., Paul, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.