DR. PAUL NICOLA WOODRUFF (NPI# 1457594376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457594376 |
| Entity Type | Individual |
| Full Name | DR. PAUL NICOLA WOODRUFF |
| Credential | M.D. |
| Practice Address |
330 Northgate Dr Manteca CA 95336-3139 |
| Practice Telephone | 2096245294 |
| Practice Fax Number | 2096245295 |
| Mailing Telephone | 2096245294 |
| Mailing Fax Number | 2096245295 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
A21203 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A21203 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 151041-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MERIDIAN MEDICAL GROUP PROF CORP GROUP NPI | 1457439572 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518370352 | Paul A. Woodruff | Physical Therapist | 81 Wolcott St, Colchester, VT 05446-6250 | 2014-06-10 |
| 1235306127 | Paul Frank Woodruff | Dentist | 6000 S Staples St, Suite 100, Corpus Christi, TX 78413-2952 | 2008-05-11 |
| Street Address |
330 NORTHGATE DR |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730273855 | James D Morgan | General Practice | 330 Northgate Dr, Manteca, CA 95336-3139 | 2006-10-03 |
| 1285998690 | Marichu Nisperos | Physician Assistant | 330 Northgate Dr, Manteca, CA 95336-3139 | 2012-06-29 |
| 1932380383 | Meridian Medical Group, P.C. | General Practice | 330 Northgate Dr, Manteca, CA 95336-3139 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1952910002 | Physician Anesthesiology Consultants | Anesthesiology | 1600 Rosecrans Ave Fl Center4, Manhattan Beach, CA 90266-3708 | 2020-07-24 |
| 1225300635 | Robert R Kutzner | Anesthesiology | 14591 Newport Ave Ste 100, Tustin, CA 92780-6026 | 2012-01-31 |
| 1275777823 | Johnson First Care Inc | Anesthesiology | 1234 Frussel, #278, Los Angles, CA 90211-3577 | 2009-04-27 |
| 1598903783 | Dr Dorodny Inc | Anesthesiology | 30765 Pacific Coast Hwy, Suite 285, Malibu, CA 90265-3646 | 2009-01-27 |
| 1396958757 | Jack Friedman | Anesthesiology | 2625 W. Alameda Ave, Suite 514, Burbank, CA 91505-4806 | 2007-05-08 |
| 1689600041 | Joseph Angelo Cabaret | Anesthesiology | 601 E Daily Dr, Suite 228, Camarillo, CA 93010-5806 | 2006-06-25 |
| 1013954130 | Gregory Alan Smith | Anesthesiology | 5680 N Fresno St Ste 105, Fresno, CA 93710-8331 | 2006-05-31 |
| 1386173698 | Susan T Koo | Anesthesiology | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-06-08 |
| 1376071282 | Pacific United Anesthesia and Critical Care Associates | Anesthesiology | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2017-05-23 |
| 1821533696 | South County Addiction Treatment Services, Inc. | Anesthesiology | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2017-01-03 |
| Find all providers with the same taxonomy | ||||
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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.