Active NPI
Paul L. Bacigalupi II, RN, BSN, PHN
- Pediatric Registered Nurse
- Woodland, CA
National Provider Identifier
1679790679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 575703
- Practice address
- 137 North Cottonwood Street
Suite 2450
Woodland, CA 95695 - Phone
- (530) 666-8645
- Fax
- (530) 669-1549
- NPI assigned
- Apr 19, 2007
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 575703 | CA | |
| Case Management Registered Nurse | 163WC0400X | 575703 | CA | |
| Community Health Registered Nurse | 163WC1500X | 575703 | CA | |
| Pediatric Registered Nurse | 163WP0200X | 575703 | CA | Primary |
| Case Management Agency | 251B00000X | 575703 | CA | |
| Public Health or Welfare Agency | 251K00000X | 575703 | CA | |
| Community Health Clinic/Center | 261QC1500X | 575703 | CA | |
| State or Local Public Health Clinic/Center | 261QP0905X | 575703 | CA | |
| Children's Chronic Disease Hospital | 281PC2000X | 575703 | CA | |
| Children's Hospital | 282NC2000X | 575703 | CA |
Addresses
Primary practice location
137 North Cottonwood Street
Suite 2450
Woodland, CA 95695
Mailing address
2542 Farmer'S Central Road
Woodland, CA 95776
Phone (530) 669-3516
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575703 | CA | MD | Public Health or Welfare Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679790679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2542 FARMER'S CENTRAL ROAD",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95776",
"telephone_number": "530-669-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 NORTH COTTONWOOD STREET",
"address_2": "SUITE 2450",
"city": "WOODLAND",
"state": "CA",
"postal_code": "95695",
"telephone_number": "530-666-8645",
"fax_number": "530-669-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACIGALUPI",
"first_name": "PAUL",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "RN, BSN, PHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "575703",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "281PC2000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital, Children",
"state": "CA",
"license": "575703",
"primary": false
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "CA",
"license": "575703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.