Organization Active NPI

Paul Knittel MD Inc

Doing business as Dr Paul's Immediate Care

  • Emergency Medical Services (Emergency Medicine) Physician
  • Redondo Beach, CA
National Provider Identifier
1982036729
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
A72047 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311000098 CA Part B Supplier - Clinic/Group Practice 1355571472 Receives reassigned benefits from 2 practitioners
Practice locations: Redondo Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2297477Dr.Paul's Immediate Care1812 Artesia Blvd, Redondo Beach, CA 90278Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.