Donald Scott Paulsen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

16036 Issued in CA

Practice address

1001 Sylvan Ave Ste a
Modesto, CA 95350-1699

Phone

(209) 422-6120

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central California Bariatric Surgery a Medical CorporationGroup PAC ID 0547289423, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Central California Bariatric Surgery a Medical Corporation

  • Surgery Physician
  • Modesto, CA
  • NPI 1124141163
  Medicare reassignment Care Compare group
• Surgical Associates Inc

  • Trauma Surgery Physician
  • Modesto, CA
  • NPI 1366824161
  Medicare reassignment NPD

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1497895775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 WYCLIFFE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554738",
            "telephone_number": "209-402-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SYLVAN AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501699",
            "telephone_number": "209-422-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 E Harding Way Ste B437",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046103",
            "country_code": "US",
            "telephone_number": "209-248-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3204 Wycliffe Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953554738",
            "country_code": "US",
            "telephone_number": "209-402-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "DONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "16036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Braaton, M.D., Inc.
• Kylie Paul
• Raman Preet Paul
• Paula Tremayne, D.O., a Professional Medical Corporation (Tremayne Center for Medicine)
• Diana Pauls
• Janice Dulion Paulsen, M.D.
• Susan Paulsen, RNFA
• David Jordan Pavloff
• Lauren Renee Pavlov, RD
• Katerina Pavlovich

• Surgical Physician Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.