Individual provider Active NPI

Paul A Bilunos, M.D.

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1891737946
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C33529 Issued in CA
Practice address
5 Medical Plaza Dr
Suire 190
Roseville, CA 95661-2865
Phone
(916) 786-7498
Fax
(916) 786-2715
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33529CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Sleep Inc Past Accepting new patients
Serenity Sleep Lab LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C33529 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

5 Medical Plaza Dr
Suire 190
Roseville, CA 95661-2865

Mailing address

3637 Mission Ave
Suite 7
Carmichael, CA 95608-2946
Phone (916) 786-7498

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00C335290MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2013.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1891737946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 MISSION AVE",
            "address_2": "SUITE 7",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082946",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR",
            "address_2": "SUIRE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612865",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILUNOS",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C33529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C335290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.