Active NPI
Paula Mae Gull, RNP
- Adult Health Nurse Practitioner
- Orange, CA
National Provider Identifier
1154476000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 396887
- Practice address
- 1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849 - Phone
- (714) 771-8033
- Fax
- (714) 744-8803
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 396887 | CA | Primary |
Addresses
Primary practice location
1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849
Mailing address
1100 W Stewart Dr
Seb, 2ND Floor
Orange, CA 92868-3849
Phone (714) 771-8033
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140219000136 | CA | Order and Referring Only - Nurse Practitioner | 8921237876 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 396887 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154476000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 W STEWART DR",
"address_2": "SEB, 2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683849",
"telephone_number": "714-771-8033",
"fax_number": "714-744-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W STEWART DR",
"address_2": "SEB, 2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683849",
"telephone_number": "714-771-8033",
"fax_number": "714-744-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULL",
"first_name": "PAULA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "396887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.