Peter P Rullan, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

G42243 Issued in CA

Practice address

256 Landis Ave
3Rd Floor
Chula Vista, CA 91910-2650

Phone

(619) 426-9600

Fax

(619) 426-4112

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Bay Skin and Cancer Medical Group IncGroup PAC ID 1153399258, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

70.28 of 100Reported as individual

Quality

50.19

Promoting interoperability

88

Improvement activities

40

Cost

60.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: prullan81540@scrippshlth.medalliesdirect.net

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.

• South Bay Skin & Cancer Medical Group, Inc.

  • Procedural Dermatology Physician
  • Chula Vista, CA
  • NPI 1033289574
  Medicare reassignment Care Compare group NPD Authorized official
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  NPD (past)
• Sharp Chula Vista Medical Center

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1538142369
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1114963170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LANDIS AVE",
            "address_2": "3RD FLOOR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102650",
            "telephone_number": "619-426-9600",
            "fax_number": "619-426-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 LANDIS AVE",
            "address_2": "3RD FLOOR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102650",
            "telephone_number": "619-426-9600",
            "fax_number": "619-426-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLAN",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G42243",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G42243",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G42243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ73699Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irving Ruiz
• Luis Ruiz
• Maite Ruiz
• Viviana Ruiz
• Jennifer Rullan, MD
• Andrew Rusnak, M.D.
• Dejahne Russell
• Patricia Ellen Russell
• Samuel Yohannes Russom, DDS
• Valentina Ruvalcaba, FNP

• Procedural Dermatology Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.