Individual provider Active NPI

Paul Tiger, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1821022583
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C158178 Issued in CA
Practice address
160 E Virginia St Ste 280
San Jose, CA 95112-5817
Phone
(408) 457-7100
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 53567 AZ
Psychiatry Physician 2084P0800X C158178 CA Primary

Addresses

Primary practice location

160 E Virginia St Ste 280
San Jose, CA 95112-5817

Mailing address

PO Box 17041
Tucson, AZ 85731-7041

Other practice location 1

516 E. Nizhoni Blvd.
Gallup, NM 87301-1337
Phone (505) 722-1000

Other practice location 2

Indio Clinic
47-825 Oasis St
Indio, CA 92201
Phone (760) 863-8283

Other practice location 3

Windy Springs Wellness Center/Desert FSP
19-531 McClane St, Ste B
Palm Springs, CA 92262
Phone (760) 288-4579

Other practice location 4

12450 Van Nuys Blvd Ste 100
Pacoima, CA 91331-1392
Phone (626) 395-7100

Other practice location 5

1855 W Baseline Rd Ste 101
Mesa, AZ 85202-9098
Phone (480) 831-7566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130125000400 TX Practitioner - Psychiatry 1456336692 Reassigns benefits to 1 organization
I20240205003420 CA Practitioner - Psychiatry 1456336692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gardner Family Health Network Inc 24 clinicians

Practice addresses (Care Compare)

160 E Virginia St
Suite 100
San Jose, CA 95112-5865
Phone (408) 918-2618

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C158178CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Psychiatry CurrentSince Jan 2, 2019 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Nov 1, 2012 Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 2, 2019 Accepting new patients
Gardner Family Health Network Inc CurrentSince Jan 8, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Nov 1, 2012 Accepting new patients
Gardner Family Health Network, Inc. CurrentSince Jan 8, 2024 Accepting new patients

Locations

160 E Virginia St
Ste 280
San Jose, CA 95112
Phone (408) 457-7100

160 E Virginia St
Ste 100
San Jose, CA 95112
Phone (408) 918-2618

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

135 Lafayette Ave
Palmerton, PA 18071
Phone (610) 826-1103

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1821022583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17041",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857317041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 280",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125817",
            "telephone_number": "408-457-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 E. Nizhoni Blvd.",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873011337",
            "country_code": "US",
            "telephone_number": "505-722-1000",
            "fax_number": "505-722-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Indio Clinic",
            "address_2": "47-825 Oasis St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "92201",
            "country_code": "US",
            "telephone_number": "760-863-8283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Windy Springs Wellness Center/Desert FSP",
            "address_2": "19-531 McClane St, Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92262",
            "country_code": "US",
            "telephone_number": "760-288-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12450 Van Nuys Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pacoima",
            "state": "CA",
            "postal_code": "913311392",
            "country_code": "US",
            "telephone_number": "626-395-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 W Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852029098",
            "country_code": "US",
            "telephone_number": "480-831-7566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIGER",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "53567",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C158178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.