MEDICARE: JOHN MICHAEL PABERS M.D.

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	282NR1301X	Rural Acute Care Hospital	G74686	CA
2	207P00000X	Emergency Medicine Physician	MD60225583	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00255264	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750321378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL PABERS M.D.

Provider Business Mailing Address
First Line	:	2304 JUAN ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1111
Country	:	US
Telephone Number	:	858-539-5268
Fax Number	:

Provider Business Practice Location Address
First Line	:	2304 JUAN ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-1111
Country	:	US
Telephone Number	:	858-539-5268
Fax Number	:

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	12/12/2025

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Directions to “ JOHN MICHAEL PABERS M.D.” Practice Location

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