Individual provider Active NPI

Mark Ronald Pulera, M.D.

  • Neurology Physician
  • Whittier, CA
National Provider Identifier
1063504967
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G081695 Issued in CA
Practice address
7007 Washington Ave Ste 221
Whittier, CA 90602
Phone
(310) 263-1900
Fax
(562) 273-5569
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G081695 CA Primary

Addresses

Primary practice location

7007 Washington Ave Ste 221
Whittier, CA 90602

Mailing address

7007 Washington Ave Ste 221
Whittier, CA 90602-3617
Phone (310) 263-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G081695CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cure4Feet Podiatry Group Inc PastSince Oct 15, 2013 Accepting new patients
Neurology Now Inc Neurology PastSince Aug 22, 2017 Accepting new patients
United Medical Care Center Inc. PastSince May 1, 2013 Accepting new patients
South Bay Neurological Diagnostic Center, Inc Past Accepting new patients

Organizations & group practices 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1063504967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WASHINGTON AVE STE 221",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023617",
            "telephone_number": "310-263-1900",
            "fax_number": "562-273-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WASHINGTON AVE STE 221",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "310-263-1900",
            "fax_number": "562-273-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULERA",
        "first_name": "MARK",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G081695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.