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PAUL RUSSELL OSTROM
NPI 1457986226
Counselor - Professional in San Diego, CA

Active since March 11, 2020PECOS Enrolled
4065 3RD AVE STE 223, SAN DIEGO, CA 92103(619) 515-2446(619) 269-0674 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2022, Mar 11, 2020 (2 updates tracked since 2020).

About Paul Russell Ostrom NPPES

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

PAUL RUSSELL OSTROM (NPI 1457986226) is an individual professional provider in San Diego, California, licensed in California (LPCC12712) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457986226
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePAUL RUSSELL OSTROM
Location Address4065 3RD AVE STE 223San Diego, CA 92103-2184
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-0674
Phone(619) 515-2446
Fax(619) 269-0674
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 11, 2020
Last NPPES UpdateOctober 25, 20242 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1457986226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC12712
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 101075 (CA)
4065 3RD AVE STE 223, San Diego, CA 92103
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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 Russell Ostrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587009824
PECOS Enrollment IDI20250926003557
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.

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 Ostrom's NPI number?

The NPI number for Paul Ostrom is 1457986226. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Paul Ostrom located?

Paul Ostrom practices at 4065 3rd Ave Ste 223, San Diego, CA 92103. The listed phone number is (619) 515-2446.

What is Paul Ostrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Paul Ostrom enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Paul Ostrom was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.