Active NPI
Paul Edward Lizotte, DO
- Internal Medicine Physician
- Oceanside, CA
National Provider Identifier
1699855841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A6147
- Practice address
- 115 North El Camino Real Suite a
115 North El Camino Real Suite a
Oceanside, CA 92058-1844 - Phone
- (760) 330-5055
- Fax
- (760) 542-2026
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 20A6147 | CA | |
| Internal Medicine Physician | 207R00000X | 20A6147 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 0000020A6147 | CA |
Addresses
Primary practice location
115 North El Camino Real Suite a
115 North El Camino Real Suite a
Oceanside, CA 92058-1844
Mailing address
115 N El Camino Real Ste a
Oceanside, CA 92058-1844
Phone (760) 330-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA127512 | Other | CA | MEDICARE PTAN |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 N El Camino Real
Suite a
Oceanside, CA 92058-1844
Phone (760) 330-5055
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6147 | CA | MD | Nuclear Medicine Physician |
| 0000020A6147 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aescalapius Medici, Inc. | Internal Medicine | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Arch Health Partners, Inc | Internal Medicine | Past | Accepting new patients |
| G.K Edwards M.D Apc | Nuclear Medicine | Past | Accepting new patients |
Locations
115 N El Camino Real
Ste A
Oceanside, CA 92058
Phone (760) 330-5055
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- paul.lizotte.1@24252.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Oceanside, CA
- NPI 1316521503
-
- Nuclear Medicine Physician
- Santa Monica, CA
- NPI 1598708240
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1699855841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N EL CAMINO REAL STE A",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581844",
"telephone_number": "760-330-5055",
"fax_number": "760-542-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NORTH EL CAMINO REAL SUITE A",
"address_2": "115 NORTH EL CAMINO REAL SUITE A",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920581844",
"telephone_number": "760-330-5055",
"fax_number": "760-542-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZOTTE",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "20A6147",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A6147",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "0000020A6147",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CA127512",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.