NPIMap

Individual provider Active NPI

Paul John Percival, MD

  • Family Medicine Physician
  • Hollister, CA
National Provider Identifier
1972595692
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G83115 Issued in CA
Practice address
591 McCray St
Ste 221
Hollister, CA 95023-2224
Phone
(831) 638-9715
Fax
(831) 637-7691
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G83115 CA Primary

Addresses

Primary practice location

591 McCray St
Ste 221
Hollister, CA 95023-2224

Mailing address

591 McCray St
Ste 221
Hollister, CA 95023-2224
Phone (831) 638-9715

Other identifiers 1

IdentifierTypeStateIssuer
00G831151MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@hollisterfamilymedicine.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000744 CA Practitioner - Family Practice 4082715602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Percival M D Medical CorporationGroup PAC ID 4082715503, 2 clinicians

Practice addresses (Care Compare)

591 McCray St
Suite 221
Hollister, CA 95023-2200
Phone (831) 638-9715

Hospital & facility affiliations

  • Care Must Home health agency, San Jose, CA, CCN 059796
  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Sehaj Home Health, Inc Home health agency, Fremont, CA, CCN 059705
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions39
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83115CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Percival M D Medical Corporation Family Medicine CurrentSince Jul 26, 2007 Accepting new patients

Locations

591 McCray St
Ste 221
Hollister, CA 95023
Phone (831) 638-9715

Organizations & group practices 1

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1972595692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST",
            "address_2": "STE 221",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-638-9715",
            "fax_number": "831-637-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 MCCRAY ST",
            "address_2": "STE 221",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950232224",
            "telephone_number": "831-638-9715",
            "fax_number": "831-637-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G83115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G831151",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@hollisterfamilymedicine.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "591 McCray St",
            "address_2": "Ste 221",
            "city": "Hollister",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950232224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.