Individual provider Active NPI

Anatoly J Bulkin, M.D.

  • Vascular Surgery Physician
  • Escondido, CA
National Provider Identifier
1275593154
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G79826 Issued in CA
Practice address
2130 Citracado Pkwy Ste 300
Escondido, CA 92029-4151
Phone
(760) 739-7666
Fax
(760) 739-7633
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G79826 CA
Vascular Surgery Physician 2086S0129X G79826 CA Primary

Addresses

Primary practice location

2130 Citracado Pkwy Ste 300
Escondido, CA 92029-4151

Mailing address

120 Craven Rd Ste 201
San Marcos, CA 92078-4237
Phone (760) 291-6650

Other identifiers 1

IdentifierTypeStateIssuer
00G798260MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120001053 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 0345141438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of California, Irvine, California College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

2125 Citracado Pkwy
Escondido, CA 92029-4159

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score
22.4 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1037
Leg revascularization (restoring blood flow)1-10
Removal of tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners, Inc Surgery CurrentSince Jul 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
North County Vascular Center a Ca Professional Medical Corporation Past Accepting new patients
Palomar Health Past Accepting new patients
Valley Radiology Consultants Medical Group, Inc Surgery PastSince May 11, 2025 Accepting new patients

Locations

2130 Citracado Pkwy
Ste 300
Escondido, CA 92029
Phone (760) 291-6650

625 Citracado Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 739-7666

555 E Valley Pkwy
Escondido, CA 92025
Phone (760) 739-3000

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15644 Pomerado Rd
Ste 300
Poway, CA 92064
Phone (760) 739-7666

15611 Pomerado Rd
Ste 106
Poway, CA 92064
Phone (833) 324-4690

120 Craven Rd
Ste 201
San Marcos, CA 92078

Interoperability endpoints

  • Direct secure messaging: abulkin80847@scrippshlth.medalliesdirect.net
  • Direct secure messaging: anatoly.bulkin.p1@direct.arch.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1275593154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CRAVEN RD STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784237",
            "telephone_number": "760-291-6650",
            "fax_number": "760-737-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY STE 300",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294151",
            "telephone_number": "760-739-7666",
            "fax_number": "760-739-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULKIN",
        "first_name": "ANATOLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G79826",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G79826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G798260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.