Active NPI
Shashi D Paul, M.D.
- Specialist
- La Jolla, CA
National Provider Identifier
1649203803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A25631
- Practice address
- 5726 La Jolla Blvd
Suite 107
La Jolla, CA 92037-7344 - Phone
- (858) 459-5437
- Fax
- (858) 459-5459
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A25631 | CA | Primary |
Addresses
Primary practice location
5726 La Jolla Blvd
Suite 107
La Jolla, CA 92037-7344
Mailing address
1212 Saint Andrews Dr
Schererville, IN 46375-2932
Phone (219) 322-8824
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A25631 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel M. Snyder MD, a Medical Corporation | Single Specialty | Past | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1891941977
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649203803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 SAINT ANDREWS DR",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463752932",
"telephone_number": "219-322-8824",
"fax_number": "219-322-9974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5726 LA JOLLA BLVD",
"address_2": "SUITE 107",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377344",
"telephone_number": "858-459-5437",
"fax_number": "858-459-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "SHASHI",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A25631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.