Individual provider Active NPI

Paul Fishman, M.D.

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1902953193
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G55759 Issued in CA
Practice address
9 Walter St
San Francisco, CA 94114-1105
Phone
(415) 552-1290
Fax
(415) 552-1292
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G55759 CA Primary

Addresses

Primary practice location

9 Walter St
San Francisco, CA 94114-1105

Mailing address

9 Walter St
San Francisco, CA 94114-1105
Phone (415) 255-2497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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
I20090113000232 CA Practitioner - Psychiatry 8325101686 Practice locations: San Francisco, CA
I20251022001759 HI Practitioner - Psychiatry 8325101686 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Massachusetts Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Honolulu, HI 96814
Phone (415) 552-1290

2211 Post St
Suite 300
San Francisco, CA 94115-3442

2211 Post St
Suite 300
San Francisco, CA 94115-3464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55759CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1902953193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141105",
            "telephone_number": "415-255-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WALTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141105",
            "telephone_number": "415-552-1290",
            "fax_number": "415-552-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G55759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.