Active NPI
Paul Henry Nieberg, MD
- Infectious Disease Physician
- Pasadena, CA
National Provider Identifier
1902909187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A67350
- Practice address
- 960 E Green St Ste 105
Pasadena, CA 91106-2443 - Phone
- (626) 304-0782
- Fax
- (626) 310-0552
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A67350 | CA | Primary |
Addresses
Primary practice location
960 E Green St Ste 105
Pasadena, CA 91106-2443
Mailing address
PO Box 1449
Brea, CA 92822-1449
Phone (714) 996-1633
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB9540 | Other | GA | RAILROAD RETIREMENT |
| 00A673500 | Medicaid | CA | |
| P00139012 | Other | CA | RAILROAD MEDICARE PROVIDE |
| 00A673500 | Other | CA | BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Howard University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
960 E Green St
Suite 105
Pasadena, CA 91106-2443
Phone (626) 304-0782
Hospital & facility affiliations
- Pasadena Home Health Care
- Huntington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67350 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Foothill Pulmonary & Critical Care Consultants Medical Group Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Pasadena, CA
- NPI 1396935243
-
- Critical Care Medicine (Internal Medicine) Physician
- Pasadena, CA
- NPI 1205862489
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pasadena, CA
- NPI 1295870228
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1902909187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "BREA",
"state": "CA",
"postal_code": "928221449",
"telephone_number": "714-996-1633",
"fax_number": "714-996-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062443",
"telephone_number": "626-304-0782",
"fax_number": "626-310-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEBERG",
"first_name": "PAUL",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A67350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "DB9540",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A673500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDE",
"identifier": "P00139012",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A673500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.