Individual provider Active NPI

Carla Leigh Paoli, LVN

  • Licensed Vocational Nurse
  • San Luis Obispo, CA
National Provider Identifier
1578020012
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN28515 Issued in CA
Practice address
2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Phone
(805) 439-4890
Fax
(805) 788-2506
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN28515 CA Primary

Addresses

Primary practice location

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771

Mailing address

2945 McMillan Ave Ste 240
San Luis Obispo, CA 93401-6771
Phone (805) 439-4890

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN28515CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1578020012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 MCMILLAN AVE STE 240",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016771",
            "telephone_number": "805-439-4890",
            "fax_number": "805-788-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 MCMILLAN AVE STE 240",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016771",
            "telephone_number": "805-439-4890",
            "fax_number": "805-788-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLI",
        "first_name": "CARLA",
        "middle_name": "LEIGH",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN28515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2019; 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.