Individual provider Active NPI

Riyan Buller, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1033814017
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024624 Issued in CA
Practice address
3737 Moraga Ave Ste B103
San Diego, CA 92117-5352
Phone
(858) 554-1212
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024624 CA Primary

Addresses

Primary practice location

3737 Moraga Ave Ste B103
San Diego, CA 92117-5352

Mailing address

4502 Felton St
San Diego, CA 92116-4401
Phone (831) 239-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240115001915 CA Practitioner - Nurse Practitioner 1355793340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

3737 Moraga Ave
Suite B103
San Diego, CA 92117-5352
Phone (858) 799-0855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024624CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Jan 12, 2024 Accepting new patients
The Neuron Clinic GP CurrentSince Apr 1, 2025 Accepting new patients
Center for Neurohealth, Inc. PastSince Oct 18, 2024 Accepting new patients

Locations

450 Fourth Ave
Ste 214
Chula Vista, CA 91910
Phone (619) 425-3840

450 Fourth Ave
Ste 215
Chula Vista, CA 91910
Phone (512) 375-3210

892 E Madison Ave
El Cajon, CA 92020
Phone (619) 737-1117

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

25186 Hancock Ave
Ste 110
Murrieta, CA 92562
Phone (951) 888-3323

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

838 Nordahl Rd
Ste 200
San Marcos, CA 92069
Phone (619) 425-3840

44045 Margarita Rd
Ste 106
Temecula, CA 92592
Phone (951) 462-4624

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: riyan.buller.1@24703.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1033814017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 FELTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164401",
            "telephone_number": "831-239-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175352",
            "telephone_number": "858-554-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLER",
        "first_name": "RIYAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.