Active NPI
Christopher Paolino Funari
- Physician Assistant
- Escondido, CA
National Provider Identifier
1982365490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 625 Citracado Pkwy Ste 112
Escondido, CA 92025-6428 - Phone
- (877) 567-2627
- NPI assigned
- Jan 6, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CA | Primary |
Addresses
Primary practice location
625 Citracado Pkwy Ste 112
Escondido, CA 92025-6428
Mailing address
625 West Citracado Parkway
Suite 108
Escondido, CA 92025-9130
Phone (760) 743-1431
Other practice location 1
28441 Rancho California Rd Ste 104
Temecula, CA 92590-3618
Phone (951) 699-4601
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60691 | CA | MD | Pediatric Dentist |
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.
-
- Specialist
- Escondido, CA
- NPI 1013068105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1982365490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 WEST CITRACADO PARKWAY",
"address_2": "SUITE 108",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920259130",
"telephone_number": "760-743-1431",
"fax_number": "760-743-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 CITRACADO PKWY STE 112",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920256428",
"telephone_number": "877-567-2627"
}
],
"practiceLocations": [
{
"address_1": "28441 Rancho California Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925903618",
"country_code": "US",
"telephone_number": "951-699-4601",
"fax_number": "760-743-6455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUNARI",
"first_name": "CHRISTOPHER",
"middle_name": "PAOLINO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-06",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.