Paul C Liederman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G7813 Issued in CA

Practice address

8772 Cuyamaca St
Suite 104
Santee, CA 92071-4218

Phone

(619) 258-6397

Fax

(619) 448-8586

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Tufts University School of Medicine, 1961

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1942237532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8772 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714218",
            "telephone_number": "619-258-6397",
            "fax_number": "619-448-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8772 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714218",
            "telephone_number": "619-258-6397",
            "fax_number": "619-448-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEDERMAN",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G7813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5886402",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G78130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee
• Jane Lee
• Jennifer Lee, M.D.
• Alexis Leighty
• Brandi Leon, RADT-1
• Roshni Elizabeth Lindsey, OTR
• Matt Litchfield, PT, DPT
• Ronda Ault Little, LMT, NCTMB
• Stephanie Litvin, M.A., CCC-SLP
• Wendy Yonghong Liu, RN

• Psychiatry Physician in Santee, CA
• Providers in Santee, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.

Verify at the official NPI Registry.