HOLLISTER FAMILY MEDICINE
NPI 1770607947
Family Medicine in Hollister, CA

Q: What is Paul J Percival M D Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 16, 2007

591 MCCRAY ST, SUITE 221, HOLLISTER, CA 95023(831) 638-9715(831) 637-7691 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2022, Dec 15, 2016 (2 updates tracked since 2016).

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About Hollister Family Medicine NPPES

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

HOLLISTER FAMILY MEDICINE (NPI 1770607947) is a healthcare organization registered as a family medicine in Hollister, California and active in the NPI registry since March 2007. The organization lists Kristen Vallejo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770607947

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePAUL J PERCIVAL M D MEDICAL CORPORATION

Location Address591 MCCRAY ST, SUITE 221Hollister, CA 95023-2224

Mailing Address591 Mccray St, Suite 221Hollister, CA 95023-2224 · (831) 638-9715 · Fax (831) 637-7691

Phone(831) 638-9715

Fax(831) 637-7691

Organization SubpartNo

Authorized OfficialKristen VallejoOffice Manager · (831) 638-9715

Enumeration DateMarch 16, 2007

Last NPPES UpdateApril 19, 20222 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1770607947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G83115

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

591 MCCRAY ST, Hollister, CA 95023

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Other Names 1

Doing Business AsHollister Family Medicine

Other Identifiers 2

Other1972595692CA · Ind. Npi, Paul Percival

Medicaid0631829CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hollister Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hollister Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dilshad Kheraj, D.O.

Family Practice

NPI 1467558163

591 MCCRAY ST SUITE 221
Hollister, CA 95023

(831) 638-9715

✔ PECOS✔ Accepts MedicareSame address

Paul Percival, MD

Family Practice

NPI 1972595692

591 MCCRAY ST STE 221
Hollister, CA 95023

(831) 638-9715

✔ PECOS✔ Accepts MedicareSame address

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 J Percival M D Medical Corporation's NPI number?

The NPI number for Paul J Percival M D Medical Corporation is 1770607947. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is doing business as Hollister Family Medicine.

Where is Paul J Percival M D Medical Corporation located?

Paul J Percival M D Medical Corporation is located at 591 Mccray St Suite 221, Hollister, CA 95023. The listed phone number is (831) 638-9715.

What is Paul J Percival M D Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul J Percival M D Medical Corporation enrolled in Medicare?

Yes. Paul J Percival M D Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paul J Percival M D Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Paul J Percival M D Medical Corporation. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paul J Percival M D Medical Corporation was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.