Individual provider Active NPI

Paolo Mimbella, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Francisco, CA
National Provider Identifier
1831599794
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A184629 Issued in CA
Practice address
400 Parnassus Ave FL 2
San Francisco, CA 94143-2202
Phone
(415) 353-2739
NPI assigned
Aug 28, 2014
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME15107 FL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A184629 CA Primary

Addresses

Primary practice location

400 Parnassus Ave FL 2
San Francisco, CA 94143-2202

Mailing address

PO Box 223190
Hollywood, FL 33022-3190
Phone (305) 974-5533

Other practice location 1

8740 N Kendall Dr Ste 206-208
Miami, FL 33176-2212
Phone (305) 974-5533

Other practice location 2

21000 NE 28th Ave Ste 104
Aventura, FL 33180-1421
Phone (305) 974-5533

Other identifiers 1

IdentifierTypeStateIssuer
402548801MedicaidTX

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
I20190819001229 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8729326921 Reassigns benefits to 1 organization
I20240521004245 CA Practitioner - Physical Medicine and Rehabilitation 8729326921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184629CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
ME15107FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 10, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Dept of Surgery CurrentSince May 9, 2024 Accepting new patients
University of California San Francisco CurrentSince May 10, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 10, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 10, 2024 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

400 Parnassus Ave
Fl 2
San Francisco, CA 94143
Phone (415) 353-2161

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Interoperability endpoints

  • Direct secure messaging: pmimbella361132@direct-ucsfmedicalcenter.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1831599794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223190",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330223190",
            "telephone_number": "305-974-5533",
            "fax_number": "305-974-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8740 N Kendall Dr Ste 206-208",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762212",
            "country_code": "US",
            "telephone_number": "305-974-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21000 NE 28th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801421",
            "country_code": "US",
            "telephone_number": "305-974-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMBELLA",
        "first_name": "PAOLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME15107",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A184629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402548801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.