Active NPI
Shailaja Bulusu
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1346648144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- Three Embarcadero Center
Lobby Level
San Francisco, CA 94111 - Phone
- (415) 495-2225
- Fax
- (415) 494-2228
- NPI assigned
- Dec 10, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
Three Embarcadero Center
Lobby Level
San Francisco, CA 94111
Mailing address
4341 Piedmont Ave
Ste 201
Oakland, CA 94611-4792
Phone (510) 547-1630
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43420 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1346648144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4341 PIEDMONT AVE",
"address_2": "STE 201",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114792",
"telephone_number": "510-547-1630",
"fax_number": "510-923-1944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THREE EMBARCADERO CENTER",
"address_2": "LOBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94111",
"telephone_number": "415-495-2225",
"fax_number": "415-494-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULUSU",
"first_name": "SHAILAJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.