Paul Charles Caudillo, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41149 Issued in CA

Practice address

4605 Buena Vista Rd Ste 680
Bakersfield, CA 93311-8793

Phone

(661) 282-8737

Fax

(661) 735-5581

NPI assigned

Mar 13, 2014

Last updated

Mar 25, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pair and Marotta Physical Therapy IncGroup PAC ID 5698782993, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pair & Marotta Physical Therapy, Inc.

  • Physical Therapist
  • Bakersfield, CA
  • NPI 1942239926
  Medicare reassignment Care Compare group NPD
• Pair & Marotta Physical Therapy, Inc.

  • Customized Equipment (DME)
  • Bakersfield, CA
  • NPI 1225783392
  NPD

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1881010858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE.",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-328-0650",
            "fax_number": "661-328-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BUENA VISTA RD STE 680",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118793",
            "telephone_number": "661-282-8737",
            "fax_number": "661-735-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Panama Lane",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93304",
            "country_code": "US",
            "telephone_number": "661-412-4667",
            "fax_number": "661-836-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "PAUL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lou Cates
• Jennifer Rose Catlett
• Mark Florentino Catley, D.P.M.
• Ireneo Hiso Catoera III, MD
• Carlos Caudillo
• Madison Caulk, PT, DPT
• Morgan Cauzza, M.S., CCC-SLP
• Juanita Marie Cavazos
• Katelynn Cavazos
• Diego R. Cavenaghi, CRNA

• Physical Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.