Individual provider Active NPI

Annette Hulse, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Los Altos, CA
National Provider Identifier
1285985820
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A12412 Issued in CA
Practice address
1 1St St Ste 3
Los Altos, CA 94022-2753
Phone
(650) 960-3485
NPI assigned
Sep 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A12412 CA Primary

Addresses

Primary practice location

1 1St St Ste 3
Los Altos, CA 94022-2753

Mailing address

1747 Kircher CT.
Los Altos, CA 94024-6208
Phone (650) 960-3485

Other practice location 1

550 Water St
Suite K4
Santa Cruz, CA 95060-4124
Phone (831) 423-2298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 8, 2018 through Sep 8, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12412CAMDNeuromusculoskeletal Medicine & OMM Physician
12412CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seek Optimal Health a Professional Corporation Neuromusculoskeletal Medicine & Omm PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1285985820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 KIRCHER CT.",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246208",
            "telephone_number": "650-960-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1ST ST STE 3",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222753",
            "telephone_number": "650-960-3485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Water St",
            "address_2": "Suite K4",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604124",
            "country_code": "US",
            "telephone_number": "831-423-2298",
            "fax_number": "831-460-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSE",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A12412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.