Individual provider Active NPI

David A Paz, M.D

  • Diagnostic Radiology Physician
National Provider Identifier
1932308764
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A103385 Issued in CA
Practice address
Hospital Americano Base Naval de Rota
Apartado de Correos 33
Rota, CADIZ 11530
ES
Phone
(877) 772-4373
NPI assigned
Jul 12, 2007
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A103385 CA Primary

Addresses

Primary practice location

Hospital Americano Base Naval de Rota
Apartado de Correos 33
Rota, CADIZ 11530
ES

Mailing address

PSC 819 Box 18
Fpo, AE 09645-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20130611000652 CA Practitioner - Diagnostic Radiology 8729240098 Reassigns benefits to 1 organization
I20140707001813 TX Practitioner - Diagnostic Radiology 8729240098 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103385CAMDGeneral Practice Dentistry
A103385CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince May 21, 2014 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Jan 17, 2024 Accepting new patients
Coastline Imaging LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Eagleeye Radiology, Inc Diagnostic Radiology PastSince Jun 26, 2012 Accepting new patients

Locations

2309 Santa Monica Blvd
Ste 108
Santa Monica, CA 90404

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1932308764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 819 BOX 18",
            "city": "FPO",
            "state": "AE",
            "postal_code": "096450001"
        },
        {
            "country_code": "ES",
            "country_name": "Spain",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "HOSPITAL AMERICANO BASE NAVAL DE ROTA",
            "address_2": "APARTADO DE CORREOS 33",
            "city": "ROTA",
            "state": "CADIZ",
            "postal_code": "11530",
            "telephone_number": "877-772-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A103385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.