Active NPI
Teejay Cacpal Rull, PA-C, MPH
- Physician Assistant
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 51730
- Practice address
- 3630 E Imperial Hwy
Lynwood, CA 90262-2609 - Phone
- (310) 900-8900
- NPI assigned
- Oct 7, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 51730 | CA | Primary |
Addresses
Primary practice location
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Mailing address
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 Nordahl Rd
Suite 131
San Marcos, CA 92069-3545
Phone (760) 432-9000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51730 | CA | MD | General Practice Dentistry |
| PA 51730 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Front Line Emergency Care Spec | Past | Accepting new patients |
Locations
1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617
2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400
6033 W Century Blvd
Ste 200
Los Angeles, CA 90045
Phone (310) 215-1600
3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553
740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000
1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
Organizations & group practices 5
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Urgent Care Clinic/Center
- Ontario, CA
- NPI 1811464084
-
- Emergency Medicine Physician
- Covina, CA
- NPI 1235503947
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1366451080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1154724987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "310-900-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 E IMPERIAL HWY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622609",
"telephone_number": "310-900-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULL",
"first_name": "TEEJAY",
"middle_name": "CACPAL",
"name_prefix": "Mr.",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 51730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.