Gerald Robert Paul, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00A196470 Issued in CA

Practice address

3405 Kenyon St
Suite 101
San Diego, CA 92110-5004

Phone

(619) 222-2335

Fax

(619) 222-2066

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• G.R. Paul Medical Group, Inc

  • General Practice Physician
  • San Diego, CA
  • NPI 1407134521
  NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1841380656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 TRUXTUN RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066135",
            "telephone_number": "619-610-9790",
            "fax_number": "619-610-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105004",
            "telephone_number": "619-222-2335",
            "fax_number": "619-222-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "GERALD",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "00A196470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A196470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M Goodman MD a Medical Corporation
• Paul R. Keith MD a Medical Corporation
• Paul Vu PH Chiropractic Inc.
• Cheryl Paul
• Crystal Marie Paul, LCSW
• Kaitlyn Paul
• Kristina Morgan Paul, MS, RD
• Megan Rose Paul, M.D.
• Naomi Nandini Paul
• Ria Sheronica Tisha Paul, LMFT

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.