Provider Demographics
NPI:1700997749
Name:JAMES, PAUL GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:GORDON
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1275
Mailing Address - Street 2:
Mailing Address - City:PEBBLE BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93953-1275
Mailing Address - Country:US
Mailing Address - Phone:831-625-1139
Mailing Address - Fax:831-625-1139
Practice Address - Street 1:1546 RIATA ROAD
Practice Address - Street 2:
Practice Address - City:PEBBLE BEACH
Practice Address - State:CA
Practice Address - Zip Code:93953-1275
Practice Address - Country:US
Practice Address - Phone:831-625-1139
Practice Address - Fax:831-625-1139
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC30002207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1700997749OtherNPI INDIVIDUAL
CA00C300020Medicaid
CA1407098684OtherNPI
CA1407098684OtherNPI