MEDICARE: PAUL CATTAFI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	Q5984	TX
2	207L00000X	Anesthesiology Physician	25MB07481600	NJ
3	207Q00000X	Family Medicine Physician	MB074816	NJ
4	207L00000X	Anesthesiology Physician	20A15990	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5585887	OTHER		CCN NETWORK
2	01000735200	OTHER		AMERICHOICE
3	2278427	OTHER		FIRST HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	3691578	OTHER		AETNA HMO
6	8017348	OTHER		CIGNA
7	2012134210001	OTHER		SAINT BARNABAS HEALTH SYS
8	8221553	OTHER		GHI
9	8FR707	OTHER	TX	BCBS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	201213421	OTHER	NJ	BLUE CROSS/BLUE SHIELD
12	2469691	OTHER		UNITED HEALTHCARE
13	692847	OTHER		NCCPO
14	12249306	OTHER		MULTI PLAN
15	7506618	OTHER		AETNA TRADITIONAL
16	P3471939	OTHER		OXFORD
17	60015949	OTHER		NJ HEALTH
18	2K5476	OTHER		HEALTHNET
19	2374965000	OTHER		AMERIHEALTH

General Provider Information

NPI Number	:	1538151543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CATTAFI DO

Provider Business Mailing Address
First Line	:	3626 RUFFIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1810
Country	:	US
Telephone Number	:	858-565-9666
Fax Number	:	858-565-9441

Provider Business Practice Location Address
First Line	:	3626 RUFFIN RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123
Country	:	US
Telephone Number	:	858-565-9666
Fax Number	:	858-565-9441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	06/15/2018

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