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PAUL MICHAEL IMUS MD
NPI 1104116680
Pediatrics - Adolescent Medicine in La Mesa, CA

Active since April 18, 2011PECOS Enrolled
8881 FLETCHER PKWY STE 205, LA MESA, CA 91942(619) 464-6434(619) 464-5109 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Michael Imus Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL MICHAEL IMUS MD (NPI 1104116680) is an individual adolescent medicine provider in La Mesa, California, licensed in California (A124606) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104116680
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NamePAUL MICHAEL IMUSCredential: MD
Location Address8881 FLETCHER PKWY STE 205La Mesa, CA 91942-3187
Mailing Address8881 Fletcher Pkwy Ste 205La Mesa, CA 91942-3187 · (619) 464-6434 · Fax (619) 464-5109
Phone(619) 464-6434
Fax(619) 464-5109
Sole ProprietorNo
Enumeration DateApril 18, 2011
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1104116680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CA · A124606
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
8881 FLETCHER PKWY STE 205, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Michael Imus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN LEANNE EMPIE MD
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
RAQUEL MARIE CLIPPINGER
Nurse Practitioner (Pediatrics)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
DR. KYRRA MOFFATT D.O.
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
DR. CORINNE JEAN ANCONA YOUNG D.O.
Family Medicine
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 270-4388
DR. RINA REGALA RONQUILLO M.D.
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
DR. CORRIE TOLERICO CLAY MD
Pediatrics
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
KATHERINE WARD APRN, FNP-C
Nurse Practitioner (Primary Care)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434
LYNDSEY RESTELLI MSN, RN, CPNP-PC
Registered Nurse (Pediatrics)
8881 FLETCHER PKWY STE 205
LA MESA, CA 91942
San Diego County (619) 464-6434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Imus's NPI number?

The NPI number for Paul Imus is 1104116680. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Paul Imus located?

Paul Imus practices at 8881 Fletcher Pkwy Ste 205, La Mesa, CA 91942. The listed phone number is (619) 464-6434.

What is Paul Imus's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Paul Imus enrolled in Medicare?

Yes. Paul Imus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Imus was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.