Provider Demographics
NPI:1033230388
Name:PAUL D SILVERMAN MD
Entity Type:Organization
Organization Name:PAUL D SILVERMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-643-4067
Mailing Address - Street 1:145 N BRENT ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-643-4067
Mailing Address - Fax:805-643-4587
Practice Address - Street 1:145 N BRENT ST
Practice Address - Street 2:SUITE 202
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-643-4067
Practice Address - Fax:805-643-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC40063174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA2490717Medicaid
CAC40063OtherSTATE LICENSE NUMBER
CA1021830001Medicare NSC
CAC40063OtherSTATE LICENSE NUMBER