Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Stuart V

Individual provider Military Health Care Provider · NPI 1790105187

Paul Stuart V is a Physician Assistant in Petaluma, California. Qualified in 2025, 1 year ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2014
Specialties on file
2

Practice location Address checks out

599 Tomales Rd
Petaluma, CA 94952-5002
Phone: (707) 765-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1790105187
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2014
Last updated in NPPESApril 19, 2025
Certification dateApril 19, 2025
Mailing address4000 Coast Guard Blvd, Portsmouth, VA 23703-2135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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