Individual provider Active NPI

Paul B. Carlat, MD

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1780697318
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00A176400 Issued in CA
Practice address
3329 Sacramento St.
San Francisco, CA 94118
Phone
(415) 563-1155
Fax
(415) 563-2545
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00A176400 CA Primary

Addresses

Primary practice location

3329 Sacramento St.
San Francisco, CA 94118

Mailing address

3329 Sacramento St.
San Francisco, CA 94118
Phone (415) 563-1155

Other identifiers 1

IdentifierTypeStateIssuer
00A176400MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A176400CAMDPsychiatry Physician
17640CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1780697318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 SACRAMENTO ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-563-1155",
            "fax_number": "415-563-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 SACRAMENTO ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-563-1155",
            "fax_number": "415-563-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLAT",
        "first_name": "PAUL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A176400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A176400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.