MEDICARE: DR. PAUL GORDON JAMES MD

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	207X00000X	Orthopaedic Surgery Physician	C30002	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700997749	OTHER	CA	NPI INDIVIDUAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1407098684	OTHER	CA	NPI

General Provider Information

NPI Number	:	1700997749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL GORDON JAMES MD

Provider Business Mailing Address
First Line	:	PO BOX 1275
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-1275
Country	:	US
Telephone Number	:	831-625-1139
Fax Number	:	831-625-1139

Provider Business Practice Location Address
First Line	:	1546 RIATA ROAD
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-1275
Country	:	US
Telephone Number	:	831-625-1139
Fax Number	:	831-625-1139

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/05/2016

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