Individual provider Active NPI

Paul J McAndrews, M.D.

  • Procedural Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1467466862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G72048 Issued in CA
Practice address
50 Alessandro PL
Suite 115
Pasadena, CA 91105-3149
Phone
(626) 405-1155
Fax
(626) 577-5606
NPI assigned
Jul 28, 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
Procedural Dermatology Physician 207NS0135X G72048 CA Primary

Addresses

Primary practice location

50 Alessandro PL
Suite 115
Pasadena, CA 91105-3149

Mailing address

50 Alessandro PL
Suite 115
Pasadena, CA 91105-3149
Phone (626) 405-1155

Other identifiers 1

IdentifierTypeStateIssuer
G72048OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000769 CA Practitioner - Dermatology 6103912068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 Alessandro PL
Pasadena, CA 91105-4028
Phone (626) 405-1155

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions166
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72048CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul McAndrews, M.D., Inc. CurrentSince Aug 1, 2007 Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

50 Alessandro Pl
Pasadena, CA 91105
Phone (626) 577-5437

50 Alessandro Pl
Ste 115
Pasadena, CA 91105
Phone (626) 405-1155

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467466862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 115",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-405-1155",
            "fax_number": "626-577-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 115",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-405-1155",
            "fax_number": "626-577-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREWS",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G72048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G72048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.