Paul Wassermann, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G31149 Issued in CA

Practice address

1430 Esplanade
Ste 5
Chico, CA 95926-3366

Phone

(530) 891-0553

Fax

(530) 891-7524

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pwassermann15496@enloedirect.org

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1427054279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE",
            "address_2": "STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "530-891-0553",
            "fax_number": "530-891-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE",
            "address_2": "STE 5",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "530-891-0553",
            "fax_number": "530-891-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMANN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G31149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G311491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pam Warren, M.D.
• Jim Warrillow
• Zachary Francis Waschevski, PA-C
• Lakesha T Washington
• Marta K Wasiak, MD
• Watch Ye and Pray Crna Inc a Professional Anesthesia Nursing Corporation
• Cheryl A Watkins, 0T
• Jeremy Scott Watkins
• Melodie Faith Watkins
• Randall B Watkins, O.D.

• Pediatrics Physician in Chico, CA
• Providers in Chico, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.