PAUL RUSSELL OSTROM
NPI 1457986226
Counselor - Professional in San Diego, CA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul Russell Ostrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Paul Ostrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Paul Ostrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Ostrom reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Paul Ostrom'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 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 2 years 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.
# Paul Russell Ostrom · NPI 1457986226
Professional provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 11, 2020.
## Identity
- **NPI:** 1457986226 (Entity type: Individual)
- **Enumerated:** March 11, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPCC12712 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4065 3RD AVE STE 223, San Diego, CA 92103-2184
- **Phone:** (619) 515-2446 · **Fax:** (619) 269-0674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457986226) · Data from the CMS NPPES public registry.