Individual provider Active NPI

Paul Vincent Holland, M.D.

  • Blood Banking & Transfusion Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1740770916
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood Banking & Transfusion Medicine PhysicianTaxonomy code 207ZB0001X
License
A-20756 Issued in CA
Practice address
1821 Wales Drive
Walnut Creek, CA 94595
Phone
(916) 230-6914
Fax
(925) 935-2737
NPI assigned
May 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 174293-1 NY
Blood Banking & Transfusion Medicine Physician 207ZB0001X A-20756 CA Primary

Addresses

Primary practice location

1821 Wales Drive
Walnut Creek, CA 94595

Mailing address

1821 Wales Drive
Walnut Creek, CA 94595
Phone (916) 230-6914

Other names 1

  • Mr. Paul Vincent Locke Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-20756CAMDBlood Banking & Transfusion Medicine Physician
174293-1NYMDBlood Banking & Transfusion Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1740770916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WALES DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "916-230-6914",
            "fax_number": "925-935-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WALES DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "916-230-6914",
            "fax_number": "925-935-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PAUL",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "NY",
            "license": "174293-1",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "CA",
            "license": "A-20756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "LOCKE",
            "middle_name": "VINCENT",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.