Healthcare Provider Details

I. General information

NPI: 1215170717
Provider Name (Legal Business Name): PAUL WILLIAM HINSHAW DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 SYCAMORE AVE STE 203
VISTA CA
92081-7879
US

IV. Provider business mailing address

902 SYCAMORE AVE STE 203
VISTA CA
92081-7879
US

V. Phone/Fax

Practice location:
  • Phone: 760-476-2929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number382791823
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20A13379
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: