Individual provider Active NPI

Robert Paul, PA

  • Physician Assistant
  • Chula Vista, CA
National Provider Identifier
1972811412
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
22368 Issued in CA
Practice address
340 Fourth Ave Ste 19
Chula Vista, CA 91910-3898
Phone
(619) 761-5308
Fax
(619) 591-1910
NPI assigned
Sep 17, 2010
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 22368 CA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

340 Fourth Ave Ste 19
Chula Vista, CA 91910-3898

Mailing address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854
Phone (626) 696-1400

Other practice location 1

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924
Phone (619) 325-1191

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007003235 CA Practitioner - Physician Assistant 2365626892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry a Richardson MD a Medical CorporationGroup PAC ID 0749537801, 9 clinicians
Algos Inc a Medical CorporationGroup PAC ID 8123917713, 24 clinicians

Practice addresses (Care Compare)

2211 Cecelia Ter
San Diego, CA 92110-2326
Phone (909) 709-5646

3434 Midway Dr
Suite 2001
San Diego, CA 92110-4924
Phone (619) 325-1161

7525 Metropolitan Dr
Suite 302
San Diego, CA 92108-4404
Phone (619) 325-1161

Merit-based Incentive Payment System (MIPS)

Final score
23.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Jun 29, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

1955 Citracado Pkwy
Ste 203
Escondido, CA 92029
Phone (760) 738-5533

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1972811412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "626-696-1400",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FOURTH AVE STE 19",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103898",
            "telephone_number": "619-761-5308",
            "fax_number": "619-591-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Midway Dr Ste 2001",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104924",
            "country_code": "US",
            "telephone_number": "619-325-1191",
            "fax_number": "619-325-1717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22368",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.