NPIMap

Individual provider Active NPI

Carey Paul, M.D.

  • Family Medicine Physician
  • Highland, CA
National Provider Identifier
1376594804
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C42993 Issued in CA
Practice address
7291 Boulder Ave Ste 2C
Highland, CA 92346-6900
Phone
(909) 862-4226
Fax
(909) 862-0319
NPI assigned
May 12, 2006
Last updated
Sep 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C42993 CA Primary

Addresses

Primary practice location

7291 Boulder Ave Ste 2C
Highland, CA 92346-6900

Mailing address

PO Box 10488
San Bernardino, CA 92423-0488
Phone (888) 344-9111

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42993CAMDFamily Medicine Physician
42993CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Healthcare Group, a Medical Corporation PastSince Jul 24, 1995 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1376594804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10488",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230488",
            "telephone_number": "888-344-9111",
            "fax_number": "909-335-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE STE 2C",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923466900",
            "telephone_number": "909-862-4226",
            "fax_number": "909-862-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.