Active NPI
Gregory Robert Pauling, PA
- Physician Assistant
- Walnut Creek, CA
National Provider Identifier
1437344843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA54185
- Practice address
- 738 Bancroft Rd
Walnut Creek, CA 94598-1531 - Phone
- (916) 203-6621
- NPI assigned
- Sep 10, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA54185 | CA | Primary |
Addresses
Primary practice location
738 Bancroft Rd
Walnut Creek, CA 94598-1531
Mailing address
2000 Los Olivos Rd
Santa Rosa, CA 95404-2018
Phone (612) 327-3725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | MN | ALL NUMBERS ARE PENDING |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA54185 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437344843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 LOS OLIVOS RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954042018",
"telephone_number": "612-327-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 BANCROFT RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945981531",
"telephone_number": "916-203-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULING",
"first_name": "GREGORY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA54185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL NUMBERS ARE PENDING",
"identifier": "PENDING",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.