Active NPI
Audrey Pauly, M.D.
- Obstetrics & Gynecology Physician
- Mammoth Lakes, CA
National Provider Identifier
1407902166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G61957
- Practice address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660 - Phone
- (760) 924-4044
- Fax
- (760) 924-4125
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G61957 | CA | Primary |
Addresses
Primary practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Mailing address
PO Box 660
85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone (760) 924-4044
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
| License | State | Type | Specialty |
|---|---|---|---|
| G61957 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1407902166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"address_2": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460660",
"telephone_number": "760-924-4044",
"fax_number": "760-924-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460660",
"telephone_number": "760-924-4044",
"fax_number": "760-924-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULY",
"first_name": "AUDREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G61957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.