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DR. PAUL E HAZELRIG JR. M.D.
NPI 1477568061
Specialist in San Mateo, CA

Active since July 30, 2006PECOS Enrolled
77 N SAN MATEO DR, SUITE 1, SAN MATEO, CA 94401(650) 342-0854(650) 342-2198 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Paul E Hazelrig Jr. M.d. NPPES

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

DR. PAUL E HAZELRIG JR. M.D. (NPI 1477568061) is an individual specialist in San Mateo, California, licensed in California (A24229) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477568061
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PAUL E HAZELRIG JR.Credential: M.D.
Location Address77 N SAN MATEO DR, SUITE 1San Mateo, CA 94401-2889
Mailing Address77 N San Mateo Dr, Suite 1San Mateo, CA 94401-2889 · (650) 342-0854 · Fax (650) 342-2198
Phone(650) 342-0854
Fax(650) 342-2198
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 15, 2013
✔ NPI 1477568061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A24229
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
77 N SAN MATEO DR, San Mateo, CA 94401
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Other Identifiers 1

Medicare UPINA23860CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul E Hazelrig Jr. M.d. 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 Reassignment

Medicare enrollment records show Paul Hazelrig reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Mateo Orthopedic Medical Group Inc
0.2 mi
Specialist
77 N SAN MATEO DR
San Mateo, CA 94401
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1679624563 (650) 342-0854

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

Other Providers at the Same Location NPPES 12

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

MARIA THERESA GERONIMO PT
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 343-5678
DR. HOWARD A COHEN M.D.
Specialist
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0854
MRS. NICOLE CASSIE CORWIN NP, RN
Nurse Practitioner
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0854
SAMANTHA OLIVEIRA PA-C, MS, MPH
Physician Assistant
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 342-0849
KYLE TANEDO
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 652-2376
AMANDA GABRIELLA ANG DPT
Physical Therapist
77 N SAN MATEO DR
SAN MATEO, CA 94401
San Mateo County (650) 343-5678
RENEE M CLEEK DPT
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 343-5678
ARIELLE WEST PT
Physical Therapist
77 N SAN MATEO DR, SUITE 2
SAN MATEO, CA 94401
San Mateo County (650) 343-5678

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 Hazelrig's NPI number?

The NPI number for Paul Hazelrig is 1477568061. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Paul Hazelrig located?

Paul Hazelrig practices at 77 N San Mateo Dr Suite 1, San Mateo, CA 94401. The listed phone number is (650) 342-0854.

What is Paul Hazelrig's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Paul Hazelrig enrolled in Medicare?

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

Which organization bills Medicare for Paul Hazelrig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Hazelrig reassigns Medicare benefits to San Mateo Orthopedic Medical Group Inc (San Mateo, 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 Hazelrig'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 Hazelrig was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.