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PAUL CORIOLAN PAC
NPI 1285686162
Physician Assistant - Medical in Pasadena, CA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5116(626) 397-2981 Get Directions Write a Review

NPPES record last updated: April 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Coriolan Pac NPPES

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

PAUL CORIOLAN PAC (NPI 1285686162) is an individual medical provider in Pasadena, California, licensed in California (PA13933) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1996).

NPPES Registry Identity

NPI1285686162
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL CORIOLANCredential: PAC
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing AddressP.o. Box 60259Los Angeles, CA 90060-0259 · (626) 447-0296 · Fax (626) 447-6057
Phone(626) 397-5116
Fax(626) 397-2981
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1996
Enumeration DateMay 17, 2006
Last NPPES UpdateApril 9, 2009
✔ NPI 1285686162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA13933
100 W CALIFORNIA BLVD, Pasadena, CA 91105
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Other Identifiers 4

Medicare PINBJ042ZNV
MedicaidPA13933CA
Medicare UPINP26449CA
Medicare PINWPA13933FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Coriolan Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800809799
PECOS Enrollment IDI20060718000364
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 20

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

DR. CHRISTOPHER GRAHAM HEDLEY MEDICAL DOCTOR
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5139
DR. RAYMOND S WONG MEDICAL DOCTOR
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5139
DR. MARK M. YEH MEDICAL DOCTOR
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5139
RICARDO LAWNER LIBERMAN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-3826
DR. ERNESTO SEBASTIAN GANGITANO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
100 W CALIFORNIA BLVD, DEPARTMENT OF NEONATOLOGY
PASADENA, CA 91105
Los Angeles County (626) 397-5461
DR. WILLIAM B GREGORY MD
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-3445
BETTY S AHN MD
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-3445
CHRISTIAN ADAM KOCH M.D.
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Los Angeles County (626) 397-5000

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 Coriolan's NPI number?

The NPI number for Paul Coriolan is 1285686162. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Paul Coriolan located?

Paul Coriolan practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 397-5116.

What is Paul Coriolan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Coriolan enrolled in Medicare?

Yes. Paul Coriolan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Paul Coriolan was last updated on April 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.