NPIMap

Individual provider Active NPI

Paul G Gaitan, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1669449104
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32717 Issued in AZ
Practice address
11030 N. Tatum Blvd
BLDG F, Suite 101
Phoenix, AZ 85028
Phone
(602) 889-9880
Fax
(480) 393-7444
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32717 AZ Primary

Addresses

Primary practice location

11030 N. Tatum Blvd
BLDG F, Suite 101
Phoenix, AZ 85028

Mailing address

11030 N. Tatum Blvd
BLDG F, Suite 101
Phoenix, AZ 85028
Phone (602) 889-9880

Other identifiers 1

IdentifierTypeStateIssuer
876279MedicaidAZ

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Regenerative Medicine PLLC Current Accepting new patients
Saguaro Health Care Past Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Anesthesia Medical Proffesionals Past Accepting new patients
Anesthesia Medical Professionals, PC Past Accepting new patients

Locations

11030 N Tatum Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 687-8265

Organizations & group practices 5

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1669449104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 N. TATUM BLVD",
            "address_2": "BLDG F, SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-889-9880",
            "fax_number": "408-393-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 N. TATUM BLVD",
            "address_2": "BLDG F, SUITE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "602-889-9880",
            "fax_number": "480-393-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITAN",
        "first_name": "PAUL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "32717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876279",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.