Individual provider Active NPI

Paul Dennis Maher, MD

  • Cardiovascular Disease Physician
  • Pasadena, CA
National Provider Identifier
1750348942
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G39652 Issued in CA
Practice address
55 E California Blvd
3Rd FL
Pasadena, CA 91105-3944
Phone
(626) 793-1227
Fax
(626) 793-3794
NPI assigned
May 1, 2006
Last updated
Oct 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G39652 CA Primary

Addresses

Primary practice location

55 E California Blvd
3Rd FL
Pasadena, CA 91105-3944

Mailing address

55 E California Blvd
3Rd FL
Pasadena, CA 91105-3944
Phone (626) 793-1227

Other identifiers 2

IdentifierTypeStateIssuer
G39652OtherCABLUE SHIELD
P00138791OtherCARAIL ROAD MEDICARE

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
I20090204000320 CA Practitioner - Cardiovascular Disease (Cardiology) 8628155355 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G39652CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Heart Specialists CurrentSince Aug 1, 1983 Accepting new patients
Arcadia Outpatient Surgery Center LP CurrentSince Aug 1, 1983 Accepting new patients
Southern California Heart Specialists Cardiovascular Disease Current Accepting new patients

Locations

301 W Huntington Dr
Ste 500
Arcadia, CA 91007
Phone (626) 294-4880

55 E California Blvd
Fl 3
Pasadena, CA 91105
Phone (626) 793-1227

Interoperability endpoints

  • Direct secure messaging: paulmaher@schs.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1750348942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "3RD FL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053944",
            "telephone_number": "626-793-1227",
            "fax_number": "626-793-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E CALIFORNIA BLVD",
            "address_2": "3RD FL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053944",
            "telephone_number": "626-793-1227",
            "fax_number": "626-793-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "PAUL",
        "middle_name": "DENNIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G39652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "G39652",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00138791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.