Individual provider Active NPI

Paul Edward Lizotte, DO

  • Internal Medicine Physician
  • Oceanside, CA
National Provider Identifier
1699855841
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6147 Issued in CA
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

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CA127512OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828000582 CA Practitioner - Internal MedicinePractitioner - Nuclear Medicine 5991765976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nuclear 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
Aescalapius Medici IncGroup PAC ID 9436554664, 2 clinicians

Practice addresses (Care Compare)

115 N El Camino Real
Suite a
Oceanside, CA 92058-1844
Phone (760) 330-5055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6147CAMDNuclear Medicine Physician
0000020A6147CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aescalapius Medici, Inc. Internal Medicine CurrentSince Jul 12, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.