Healthcare Provider Details

I. General information

NPI: 1952178048
Provider Name (Legal Business Name): PAUL WARE, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 02/06/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15891 LOS GATOS ALMADEN RD
LOS GATOS CA
95032-3742
US

IV. Provider business mailing address

PO BOX 537
CAPITOLA CA
95010-0537
US

V. Phone/Fax

Practice location:
  • Phone: 408-559-2011
  • Fax:
Mailing address:
  • Phone: 408-559-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL FREDERICK WARE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 408-559-2011