Brian McCulin

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

5301 S Vermont Ave
Los Angeles, CA 90037-3529

Phone

(562) 225-2557

NPI assigned

Sep 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1356168231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W 56TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373405",
            "telephone_number": "562-225-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373529",
            "telephone_number": "562-225-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULIN",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel McCreedy, DDS
• Colin Matthew McCrimmon
• Dawn McCrory, PT, DPT
• Raynique McCrory, ACNPC-AG
• Matthew Jordan McCubbin, MS, CF-SLP
• Mary Evelyn McCulley, CPNP-AC
• Phillip Lee McCulley, LMFT
• Joan Helene McCulloch, MS
• Kalie McCulloch, DMD
• Patricia McCulloch

• Peer Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.