Active NPI
Noelle Capulong, PA
- Physician Assistant
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA53600
- Practice address
- 2033 Gateway Place
5TH Floor, Office 647
San Jose, CA 95110 - Phone
- (657) 500-0634
- NPI assigned
- Jul 3, 2019
- Last updated
- Aug 14, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA53600 | CA | Primary |
Addresses
Primary practice location
2033 Gateway Place
5TH Floor, Office 647
San Jose, CA 95110
Mailing address
68 Harrison Ave Ste 600
Boston, MA 02111-1995
Phone (657) 500-0634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA53600 | Other | CA | PHYSICIAN ASSISTANT BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bicycle Health Provider Group Inc
Practice addresses (Care Compare)
1700 Westlake Ave N
Suite 200
Seattle, WA 98109-6212
Phone (844) 943-2514
2033 Gateway PL
San Jose, CA 95110-3709
Phone (844) 943-2514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA53600 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rume Medical Group, Inc. | Current | Accepting new patients |
Locations
2729 Bristol St
Costa Mesa, CA 92626
Phone (657) 256-8995
19722 MacArthur Blvd
Ste 110
Irvine, CA 92612
Phone (844) 540-4357
Interoperability endpoints
- noelle.capulong.1@18731.direct.athenahealth.com
- noelle.capulong@398008301912068.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1275195760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 HARRISON AVE STE 600",
"city": "BOSTON",
"state": "MA",
"postal_code": "021111995",
"telephone_number": "657-500-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 GATEWAY PLACE",
"address_2": "5TH FLOOR, OFFICE 647",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95110",
"telephone_number": "657-500-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPULONG",
"first_name": "NOELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA53600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN ASSISTANT BOARD OF CALIFORNIA",
"identifier": "PA53600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.