Individual provider Active NPI

Paul M Loeffler, M.D.

  • Diagnostic Radiology Physician
  • Visalia, CA
National Provider Identifier
1790709681
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A65275 Issued in CA
Practice address
3610 W Packwood Ave
Visalia, CA 93277-5010
Phone
(559) 713-6050
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A65275 CA Primary

Addresses

Primary practice location

3610 W Packwood Ave
Visalia, CA 93277-5010

Mailing address

3610 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 713-6050

Other identifiers 1

IdentifierTypeStateIssuer
00A652751MedicaidCA

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
I20040131000284 CA Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 8022911452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Medical Imaging Associates IncGroup PAC ID 0446309983, 5 clinicians

Practice addresses (Care Compare)

360 E Almond Ave
Suite Aandb
Madera, CA 93637-5688
Phone (559) 384-3239

3610 W Packwood Ave
Visalia, CA 93277-5010
Phone (559) 713-6050

875 E Merritt Ave
Tulare, CA 93274-2246
Phone (559) 366-7665

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Radiology Group, Inc. Diagnostic Radiology Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 7, 2019 Accepting new patients
California Medical Imaging Associates, Inc Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 7, 2019 Accepting new patients
California Medical Imaging Associates, Inc Diagnostic Radiology Past Accepting new patients
California Medical Imaging Associates, Inc Past Accepting new patients
Physicians Imaging Visalia LLC Past Accepting new patients
California Medical Imaging Associates, Inc Diagnostic Radiology PastSince Nov 17, 2019 Accepting new patients
California Medical Imaging Associates, Inc Past Accepting new patients
Mineral King Radiological Medical Group, Inc Diagnostic Radiology PastSince Jul 26, 2010 Accepting new patients

Locations

300 Canal St
King City, CA 93930
Phone (831) 385-6000

210 Canal St
King City, CA 93930
Phone (931) 385-7100

360 E Almond Ave
Ste Ab
Madera, CA 93637
Phone (559) 384-3239

462 W Putnam Ave
Porterville, CA 93257
Phone (559) 781-1633

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

875 E Merritt Ave
Tulare, CA 93274
Phone (559) 366-7665

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

3610 W Packwood Ave
Visalia, CA 93277
Phone (559) 280-2047

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 10

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1790709681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775010",
            "telephone_number": "559-713-6050",
            "fax_number": "559-713-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W PACKWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775010",
            "telephone_number": "559-713-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A65275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A652751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.