Individual provider Active NPI

Aura-Marie Pawley, M.D.

  • Neurology Physician
  • San Marino, CA
National Provider Identifier
1639207400
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A63825 Issued in CA
Practice address
2400 Mission St
San Marino, CA 91108-1632
Phone
(626) 403-8999
Fax
(626) 403-8989
NPI assigned
Mar 1, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A63825 CA Primary

Addresses

Primary practice location

2400 Mission St
San Marino, CA 91108-1632

Mailing address

2400 Mission St
San Marino, CA 91108-1632
Phone (626) 403-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000962 CA Practitioner - Psychiatry 3072414143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Marino Psychiatric Associates IncGroup PAC ID 6709864895, 6 clinicians

Practice addresses (Care Compare)

2400 Mission St
San Marino, CA 91108-1632
Phone (626) 403-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A63825CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Marino Psychiatric Associates, Inc. CurrentSince Apr 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1639207400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MISSION ST",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081632",
            "telephone_number": "626-403-8999",
            "fax_number": "626-403-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLEY",
        "first_name": "AURA-MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A63825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.