DARRELL G PAUL (NPI# 1073732913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073732913 |
| Entity Type | Individual |
| Full Name | DARRELL G PAUL |
| Practice Address |
7373 West Ln Stockton CA 95210-3377 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3466 |
| Practice Telephone | 2094762000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4154 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
7373 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1669930350 | Nishant Deo | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-03-12 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548439 | Michael D Mc Gavic A Professional Corporation | Podiatrist | 1755 W Hammer Ln, S-7b, Stockton, CA 95209-2900 | 2010-05-11 |
| 1588771273 | Katherine Y. Young | Podiatrist | 1810 Grand Canal Blvd, Suite 2, Stockton, CA 95207-8110 | 2006-08-25 |
| 1912919358 | Valley Podiatry Group Inc | Podiatrist | 3031 W March Lane, Suite 310, Stockton, CA 95219-6500 | 2006-08-13 |
| 1003868100 | Craig Anthony Lenz | Podiatrist | 1755 W Hammer Ln Ste 7b, Stockton, CA 95209-2900 | 2006-05-17 |
| 1629028923 | Craig Steven Garfolo | Podiatrist | 1350 W Robinhood Dr, Suite 14, Stockton, CA 95207-5512 | 2006-05-10 |
| 1619949187 | Lynn Robert Johnson | Podiatrist | 1205 N Hunter St, Stockton, CA 95202-1409 | 2006-02-07 |
| 1972599355 | Gregory T Pulas | Podiatrist | 3031 W March Ln, 203, Stockton, CA 95219-6500 | 2005-09-21 |
| 1023169471 | Delta Podiatry Group, Inc. | Podiatrist | 1205 N Hunter St, Stockton, CA 95202-1409 | 2007-01-14 |
| 1346314945 | Thomas R. Ecton | Podiatrist | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-17 |
| 1902984818 | Curtis K. Lawlor | Podiatrist | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.