Basic Information
| Provider Information | |||||||||
| NPI: | 1538151543 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CATTAFI | ||||||||
| FirstName: | PAUL | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3626 RUFFIN RD | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921231810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585659666 | ||||||||
| FaxNumber: | 8585659441 | ||||||||
| Practice Location | |||||||||
| Address1: | 3626 RUFFIN RD | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585659666 | ||||||||
| FaxNumber: | 8585659441 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 06/15/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Q5984 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 25MB07481600 | NJ | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207Q00000X | MB074816 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207L00000X | 20A15990 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 5585887 | 01 | CCN NETWORK | OTHER | 01000735200 | 01 | AMERICHOICE | OTHER | 2278427 | 01 | FIRST HEALTH | OTHER | 365234901 | 05 | TX | MEDICAID | 3691578 | 01 | AETNA HMO | OTHER | 8017348 | 01 | CIGNA | OTHER | 2012134210001 | 01 | SAINT BARNABAS HEALTH SYS | OTHER | 8221553 | 01 | GHI | OTHER | 8FR707 | 01 | TX | BCBS | OTHER | 0047180 | 05 | NJ | MEDICAID | 201213421 | 01 | NJ | BLUE CROSS/BLUE SHIELD | OTHER | 2469691 | 01 | UNITED HEALTHCARE | OTHER | 692847 | 01 | NCCPO | OTHER | 12249306 | 01 | MULTI PLAN | OTHER | 7506618 | 01 | AETNA TRADITIONAL | OTHER | P3471939 | 01 | OXFORD | OTHER | 60015949 | 01 | NJ HEALTH | OTHER | 2K5476 | 01 | HEALTHNET | OTHER | 2374965000 | 01 | AMERIHEALTH | OTHER |