Individual provider Active NPI

Floyd L Culler III, MD

  • Pediatric Endocrinology Physician
  • Sacramento, CA
National Provider Identifier
1285714378
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
000000C39542 Issued in CA
Practice address
3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123
Phone
(916) 426-1902
Fax
(916) 426-1940
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 000000C39542 CA Primary

Addresses

Primary practice location

3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123

Mailing address

3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123
Phone (916) 426-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000000C39542CAMDPediatric Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1285714378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 AUBURN BLVD",
            "address_2": "SUITE 72",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212123",
            "telephone_number": "916-426-1902",
            "fax_number": "916-426-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 AUBURN BLVD",
            "address_2": "SUITE 72",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212123",
            "telephone_number": "916-426-1902",
            "fax_number": "916-426-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLER III",
        "first_name": "FLOYD L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "000000C39542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.