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J PAUL GATDULA PMHNP-BC
NPI 1225727258
Nurse Practitioner - Psychiatric/Mental Health in Newport Beach, CA

Active since May 04, 2023PECOS Enrolled
2618 SAN MIGUEL DR # 2151, NEWPORT BEACH, CA 92660(949) 996-8342(949) 996-8038 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2026, Mar 16, 2026, Oct 6, 2023 and 2 more (5 updates tracked since 2023).

About J Paul Gatdula Pmhnp-bc NPPES

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

J PAUL GATDULA PMHNP-BC (NPI 1225727258) is an individual psychiatric/mental health provider in Newport Beach, California, licensed in California (95025054) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225727258
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJ PAUL GATDULACredential: PMHNP-BC
Location Address2618 SAN MIGUEL DR # 2151Newport Beach, CA 92660-5437
Mailing Address2618 San Miguel Dr # 2151Newport Beach, CA 92660-5437 · (949) 996-8342 · Fax (949) 996-8038
Phone(949) 996-8342
Fax(949) 996-8038
Sole ProprietorNo
Enumeration DateMay 4, 2023
Last NPPES UpdateAugust 21, 20265 updates tracked since enumeration
NPPES CertifiedAugust 21, 2026
✔ NPI 1225727258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95025054
2618 SAN MIGUEL DR # 2151, Newport Beach, CA 92660
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Quail St Ste 200Newport Beach, CA 92660-2767 · Phone (714) 369-8052
Location 21225 W 190th St Ste 280Gardena, CA 90248-4305 · Phone (877) 515-8113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Paul Gatdula Pmhnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show J Paul Gatdula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ehab Yacoub MD Inc.
30 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Grow Healthcare Group PC
342 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 J Paul Gatdula's NPI number?

The NPI number for J Paul Gatdula is 1225727258. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is J Paul Gatdula located?

J Paul Gatdula practices at 2618 San Miguel Dr # 2151, Newport Beach, CA 92660. The listed phone number is (949) 996-8342.

What is J Paul Gatdula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is J Paul Gatdula enrolled in Medicare?

Yes. J Paul Gatdula is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for J Paul Gatdula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), J Paul Gatdula reassigns Medicare benefits to 2 organizations: Ehab Yacoub MD Inc. (Gardena, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for J Paul Gatdula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for J Paul Gatdula was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.