Individual provider Active NPI

Paul Lenin Gottlieb, M.D

  • Specialist
  • Carmichael, CA
National Provider Identifier
1619937463
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A26739 Issued in CA
Practice address
6620 Coyle Ave
# 301
Carmichael, CA 95608-6333
Phone
(916) 961-2514
Fax
(916) 961-0297
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A26739 CA Primary
Urology Physician 208800000X A26739 CA

Addresses

Primary practice location

6620 Coyle Ave
# 301
Carmichael, CA 95608-6333

Mailing address

6620 Coyle Ave
# 301
Carmichael, CA 95608-6333
Phone (916) 961-2514

Other identifiers 2

IdentifierTypeStateIssuer
00A267390MedicaidCA
340001130OtherCARAILROAD MEDICARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26739CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiological Associates of Sacramento Medical Group Inc Past Accepting new patients
Radiological Associates of Sacramento Medical Group Inc. Urology Past Accepting new patients

Organizations & group practices 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1619937463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE",
            "address_2": "# 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086333",
            "telephone_number": "916-961-2514",
            "fax_number": "916-961-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE",
            "address_2": "# 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086333",
            "telephone_number": "916-961-2514",
            "fax_number": "916-961-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "PAUL",
        "middle_name": "LENIN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26739",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A26739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A267390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340001130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.