Individual provider Active NPI

Paulo Cortes, D.M.D.

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1689055162
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64540 Issued in CA
Practice address
10737 Camino Ruiz Ste 120
San Diego, CA 92126-2361
Phone
(858) 566-0842
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64540 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz Ste 120
San Diego, CA 92126-2361

Mailing address

10737 Camino Ruiz Ste 120
San Diego, CA 92126-2361
Phone (619) 788-8278

Other practice location 1

8018 Clairemont Mesa Blvd
San Diego, CA 92111-1615
Phone (858) 256-4838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014001295 CA Order and Referring Only - DentistPractitioner - Dentist 1658680681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Meyerson, DDS, Inc. General Practice PastSince Aug 25, 2024 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1689055162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262361",
            "telephone_number": "619-788-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262361",
            "telephone_number": "858-566-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8018 Clairemont Mesa Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921111615",
            "country_code": "US",
            "telephone_number": "858-256-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTES",
        "first_name": "PAULO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.