Active NPI
Anatoly J Bulkin, M.D.
- Vascular Surgery Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G79826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G798260 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.4 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 74.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1037 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 15 |
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Surgery | Current | 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 | Past | 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
- abulkin80847@scrippshlth.medalliesdirect.net
- 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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Vascular & Interventional Radiology Physician
- Escondido, CA
- NPI 1881930949
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
-
- Diagnostic Radiology Physician
- Escondido, CA
- NPI 1205897568
Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.