Richard Erick Kullberg

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN153038 Issued in CA

Practice address

4126 1/2 36TH St
San Diego, CA 92104-2307

Phone

(619) 417-9634

NPI assigned

Aug 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Richard Erick Kullberg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1235563248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 CAMULOS ST",
            "address_2": "#A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105527",
            "telephone_number": "619-417-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 1/2 36TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042307",
            "telephone_number": "619-417-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLBERG",
        "first_name": "RICHARD",
        "middle_name": "ERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN153038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "KULLBERG",
            "middle_name": "ERICK",
            "prefix": "MR.",
            "credential": "LVN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christina Kuljis
• Jennifer Kulka, LCSW
• Kaushal M. Kulkarni, M.D.
• Alison Kullback
• Erika Kullberg, DMD
• Kulmiye Care LLC
• Carey Rogers Kulongoski, LCSW
• Kanokwan Kultan
• Kyunghae Kum, PSY.D.
• Andrea Leilani Kumano

• Licensed Vocational Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.