Active NPI
Paul Stephen Aisen
- Geriatric Medicine (Internal Medicine) Physician
- San Diego, CA
National Provider Identifier
1669470753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G88220
- Practice address
- 200 West Arbor Dr MC 0949
Ucsd Medical Center
San Diego, CA 92103-0949 - Phone
- (858) 622-2028
- NPI assigned
- Jul 12, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G88220 | CA | Primary |
| Neurology Physician | 2084N0400X | 31377 | DC | |
| Neurology Physician | 2084N0400X | G88220 | CA |
Addresses
Primary practice location
200 West Arbor Dr MC 0949
Ucsd Medical Center
San Diego, CA 92103-0949
Mailing address
200 West Arbor Dr
Ucsd Medical Center
San Diego, CA 92103-8201
Phone (858) 622-2028
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373200200 | Medicaid | MD | |
| 130022342 | Other | MEDICARE RAILROAD | |
| 029728100 | Medicaid | DC | |
| 5842174 | Medicaid | VA |
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 |
|---|---|---|---|
| 31377 | DC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1669470753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DR",
"address_2": "UCSD MEDICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038201",
"telephone_number": "858-622-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DR MC 0949",
"address_2": "UCSD MEDICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921030949",
"telephone_number": "858-622-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AISEN",
"first_name": "PAUL",
"middle_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G88220",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "31377",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G88220",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373200200",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "130022342",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029728100",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5842174",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.