Active NPI
William Brooks Paxton, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Encinits, CA
National Provider Identifier
1356566061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- G82355
- Practice address
- 1499 Cascadia LN
Encinits, CA 92024-2386 - Phone
- (760) 479-0664
- Fax
- (760) 454-2290
- NPI assigned
- Apr 16, 2007
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | G82355 | CA | Primary |
Addresses
Primary practice location
1499 Cascadia LN
Encinits, CA 92024-2386
Mailing address
1499 Cascadia LN
Encinits, CA 92024-2386
Phone (760) 479-0664
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G82355 | CA | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356566061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 CASCADIA LN",
"city": "ENCINITS",
"state": "CA",
"postal_code": "920242386",
"telephone_number": "760-479-0664",
"fax_number": "760-454-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 CASCADIA LN",
"city": "ENCINITS",
"state": "CA",
"postal_code": "920242386",
"telephone_number": "760-479-0664",
"fax_number": "760-454-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAXTON",
"first_name": "WILLIAM",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "G82355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.