Paul Jeffrey Rainbolt, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F362328759 Issued in CA

Practice address

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Phone

(323) 500-0826

NPI assigned

Aug 19, 2014

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Paul Jeffrey Leilani-Rainbolt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1457750119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VIA EL ENCANTADOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112736",
            "telephone_number": "323-500-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "323-500-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINBOLT",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "F362328759",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "F070519286",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "LEILANI-RAINBOLT",
            "middle_name": "JEFFREY",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stepney Racy, MSN, NP
• Florian Rader, MD
• Leslie J Raffel, M.D.
• Liza R Raffi
• Daniel Rahmann
• Sean Shahriar Rajaee, M.D.
• Mersedeh Rajinia, DDS
• Maulik Rajyaguru, D.O.
• Ralphs Grocery Company (Ralphs Pharmacy)
• Ralphs Grocery Company (Ralphs Pharmacy)

• Acute Care Nurse Practitioner in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.