Active NPI
Paul Lenin Gottlieb, M.D
- Specialist
- Carmichael, CA
National Provider Identifier
1619937463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A26739
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A267390 | Medicaid | CA | |
| 340001130 | Other | CA | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| A26739 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Diagnostic Radiology Physician
- Roseville, CA
- NPI 1487945754
-
- Urology Physician
- Sacramento, CA
- NPI 1124267828
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.