Individual provider Active NPI

Paul Michael Nerz, MD

  • Addiction Medicine (Family Medicine) Physician
  • Placerville, CA
National Provider Identifier
1467549030
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
G35504 Issued in CA
Practice address
2844 Coloma St
Placerville, CA 95667-4406
Phone
(916) 871-6712
Fax
(530) 621-7707
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 12102 WV
Addiction Medicine (Family Medicine) Physician 207QA0401X G35504 CA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X C1-0004019 DE

Addresses

Primary practice location

2844 Coloma St
Placerville, CA 95667-4406

Mailing address

3476 Buena Vista Dr
Shingle Springs, CA 95682-8813
Phone (916) 502-1781

Other identifiers 1

IdentifierTypeStateIssuer
080180953OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070510000642 CA Practitioner - Family PracticePractitioner - Addiction Medicine 9234235086 Reassigns benefits to 1 organization
I20190426000711 TX Practitioner - Addiction MedicinePractitioner - Family Practice 9234235086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Team, Inc.Group PAC ID 2365588902, shared by 11 NPIs, 14 clinicians

Practice addresses (Care Compare)

449 S Madera Ave
Kerman, CA 93630-1537
Phone (559) 846-9359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G35504CAMDAddiction Medicine (Family Medicine) Physician
C1-0004019DEMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shingle Springs Rancheria CurrentSince Apr 16, 2022 Accepting new patients
Fallon Tribal Health Center CurrentSince Mar 18, 2019 Accepting new patients
Good Health Medical Inc CurrentSince Nov 18, 2025 Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients

Locations

5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008

1001 Rio Vista Dr
Fallon, NV 89406
Phone (775) 423-3634

Interoperability endpoints

  • Direct secure messaging: paul.nerz.p4@direct.vht.nextgenshare.com

Organizations & group practices 4

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1467549030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 BUENA VISTA DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828813",
            "telephone_number": "916-502-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2844 COLOMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674406",
            "telephone_number": "916-871-6712",
            "fax_number": "530-621-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERZ",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WV",
            "license": "12102",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G35504",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "DE",
            "license": "C1-0004019",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080180953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.