Paul-Wayne Johnson Mahlow, MA, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

455 Oconnor Dr
Suite 150
San Jose, CA 95128-1633

Phone

(408) 293-7767

Fax

(408) 294-6595

NPI assigned

Dec 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1699959320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR",
            "address_2": "SUITE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281633",
            "telephone_number": "408-293-7767",
            "fax_number": "408-294-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR",
            "address_2": "SUITE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281633",
            "telephone_number": "408-293-7767",
            "fax_number": "408-294-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLOW",
        "first_name": "PAUL-WAYNE",
        "middle_name": "JOHNSON",
        "name_prefix": "Mr.",
        "credential": "MA, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Mahari, MD
• Nikita Mahbubani, LMFT
• Mahdokht Yousefian DDS Inc.
• Jasmine A Mahesri, M.D.
• Purvi Jimit Maheta
• Amritpal Mahmi
• Mehdi Mahmoodvandi, D.D.S.
• Heather Mahoney
• Mahsa Esfahani M.D. Professional Corporation
• Pantea Mahtosh, M.D.

• Athletic Trainer in San Jose, CA
• Providers in San Jose, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.