Provider Demographics
NPI:1538151543
Name:CATTAFI, PAUL (DO)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:CATTAFI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3626 RUFFIN RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1810
Mailing Address - Country:US
Mailing Address - Phone:858-565-9666
Mailing Address - Fax:858-565-9441
Practice Address - Street 1:3626 RUFFIN RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-565-9666
Practice Address - Fax:858-565-9441
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5984207L00000X
NJ25MB07481600207L00000X
NJMB074816207Q00000X
CA20A15990207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5585887OtherCCN NETWORK
01000735200OtherAMERICHOICE
2278427OtherFIRST HEALTH
TX365234901Medicaid
3691578OtherAETNA HMO
8017348OtherCIGNA
2012134210001OtherSAINT BARNABAS HEALTH SYS
8221553OtherGHI
TX8FR707OtherBCBS
NJ0047180Medicaid
NJ201213421OtherBLUE CROSS/BLUE SHIELD
2469691OtherUNITED HEALTHCARE
692847OtherNCCPO
12249306OtherMULTI PLAN
7506618OtherAETNA TRADITIONAL
P3471939OtherOXFORD
60015949OtherNJ HEALTH
2K5476OtherHEALTHNET
2374965000OtherAMERIHEALTH
NJ0047180Medicaid
2374965000OtherAMERIHEALTH
TX365234901Medicaid