Individual provider Active NPI

Paul L. Bacigalupi II, RN, BSN, PHN

  • Pediatric Registered Nurse
  • Woodland, CA
National Provider Identifier
1679790679
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
575703 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
575703CAMDPublic 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.

Verify at the official NPI Registry.