Individual provider Active NPI

Paul Nathan Gailiunas, M.D.

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1831174184
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A103027 Issued in CA
Practice address
1800 N Lake Ave
Pasadena, CA 91104-1228
Phone
(626) 398-6300
Fax
(626) 204-0086
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28465 SC
Family Medicine Physician 207Q00000X A103027 CA Primary

Addresses

Primary practice location

1800 N Lake Ave
Pasadena, CA 91104-1228

Mailing address

837 S Fair Oaks Ave
Suite 204
Pasadena, CA 91105-2628
Phone (626) 398-6300

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
I20140915002547 CA Practitioner - Family Practice 2769371418 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103027CAMDFamily Medicine Physician
28465SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Memorial Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1831174184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 S FAIR OAKS AVE",
            "address_2": "SUITE 204",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052628",
            "telephone_number": "626-398-6300",
            "fax_number": "626-204-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911041228",
            "telephone_number": "626-398-6300",
            "fax_number": "626-204-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILIUNAS",
        "first_name": "PAUL",
        "middle_name": "NATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "28465",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.