Individual provider Active NPI

Paul M Remis, MD

  • Psychiatry Physician
  • San Luis Obispo, CA
National Provider Identifier
1457370751
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24123 Issued in CA
Practice address
1521 Higuera St
Suite F
San Luis Obispo, CA 93401-2958
Phone
(805) 544-1521
Fax
(805) 544-1520
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A24123 CA Primary

Addresses

Primary practice location

1521 Higuera St
Suite F
San Luis Obispo, CA 93401-2958

Mailing address

1521 Higuera St
Suite F
San Luis Obispo, CA 93401-2958
Phone (805) 544-1521

Other names 1

  • Dr. Paul M Remis Professional name

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
A24123CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Psychiatric Care, AMC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457370751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 HIGUERA ST",
            "address_2": "SUITE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012958",
            "telephone_number": "805-544-1521",
            "fax_number": "805-544-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HIGUERA ST",
            "address_2": "SUITE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012958",
            "telephone_number": "805-544-1521",
            "fax_number": "805-544-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIS",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A24123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "REMIS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

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.

Verify at the official NPI Registry.