Provider Demographics
NPI:1033444120
Name:TOOGOOD, PAUL ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALEXANDER
Last Name:TOOGOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 VENTURA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-3226
Mailing Address - Country:US
Mailing Address - Phone:513-319-1916
Mailing Address - Fax:
Practice Address - Street 1:2550 23RD ST
Practice Address - Street 2:BUILDING 9, 2ND FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3504
Practice Address - Country:US
Practice Address - Phone:513-319-1916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115067207XX0801X
WAMD60431909207XX0801X
MN59030207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1033444120Medicaid
WA8928222Medicare PIN