Organization Active NPI

Paul M. Chretien MD Inc.

  • Pediatric Neurodevelopmental Disabilities Physician
  • Sacramento, CA
National Provider Identifier
1598822801
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
PAUL M. CHRETIEN MD INC.
Practice address
1111 Exposition Blvd
BDG 700, Ste 102
Sacramento, CA 95815-4335
Phone
(916) 649-9800
Fax
(916) 649-9801
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Paul M Chretien, MD
Title
President
Phone
(916) 649-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X Primary

Addresses

Primary practice location

1111 Exposition Blvd
BDG 700, Ste 102
Sacramento, CA 95815-4335

Mailing address

1111 Exposition Blvd
BDG 700, Ste 102
Sacramento, CA 95815-4335
Phone (916) 649-9800

National Provider Directory

National Provider Directory

Locations

1111 Exposition Blvd
Ste 102
Sacramento, CA 95815
Phone (916) 649-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1598822801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BDG 700, STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154335",
            "telephone_number": "916-649-9800",
            "fax_number": "916-649-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD",
            "address_2": "BDG 700, STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154335",
            "telephone_number": "916-649-9800",
            "fax_number": "916-649-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M. CHRETIEN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "CHRETIEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-649-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.