Active NPI
Paul Knittel MD Inc
Doing business as Dr Paul's Immediate Care
- Emergency Medical Services (Emergency Medicine) Physician
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- A72047
- Legal business name
- PAUL KNITTEL MD INC
- Doing business as
- Dr Paul's Immediate Care
- Practice address
- 1812 Artesia Blvd
Redondo Beach, CA 90278-2906 - Phone
- (310) 378-0876
- NPI assigned
- Aug 3, 2013
- Last updated
- Aug 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Burns-Knittel
- Title
- Office Manger
- Phone
- (310) 378-0876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A72047 | CA | Primary |
Addresses
Primary practice location
1812 Artesia Blvd
Redondo Beach, CA 90278-2906
Mailing address
326 Calle de Arboles
Redondo Beach, CA 90277-6606
Phone (310) 378-0876
Other names 1
- Dr Paul's Immediate Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2297477 | Dr.Paul's Immediate Care | Certificate of waiver | Jan 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
1812 Artesia Blvd
Redondo Beach, CA 90278
Phone (310) 374-5600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Redondo Beach, CA
- NPI 1861421711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722556800000",
"number": "1982036729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 CALLE DE ARBOLES",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776606",
"telephone_number": "310-378-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 ARTESIA BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782906",
"telephone_number": "310-378-0876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL KNITTEL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-03",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A",
"authorized_official_last_name": "BURNS-KNITTEL",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "310-378-0876"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "CA",
"license": "A72047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Paul's Immediate Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.