Individual provider Active NPI

Marcelle A Paja, PT

  • Physical Medicine & Rehabilitation Physician
  • Mission Viejo, CA
National Provider Identifier
1619957131
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT32192 Issued in CA
Practice address
25971 Pala
Suite 110
Mission Viejo, CA 92691-2742
Phone
(949) 465-9500
Fax
(949) 465-9506
NPI assigned
Jan 19, 2006
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT32192 CA Primary

Addresses

Primary practice location

25971 Pala
Suite 110
Mission Viejo, CA 92691-2742

Mailing address

25971 Pala
Suite 110
Mission Viejo, CA 92691-2742
Phone (949) 465-9500

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

State licenses

LicenseStateTypeSpecialty
PT32192CAMDPhysical Medicine & Rehabilitation Physician
32192CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1619957131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25971 PALA",
            "address_2": "SUITE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912742",
            "telephone_number": "949-465-9500",
            "fax_number": "949-465-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25971 PALA",
            "address_2": "SUITE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912742",
            "telephone_number": "949-465-9500",
            "fax_number": "949-465-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJA",
        "first_name": "MARCELLE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT32192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.