Active NPI
Victor Ismael Pulido, D.O.
- Family Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A5737
- Practice address
- 235 S Palisade Dr
Santa Maria, CA 93454 - Phone
- (805) 739-3561
- NPI assigned
- Jun 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A5737 | CA | Primary |
Addresses
Primary practice location
235 S Palisade Dr
Santa Maria, CA 93454
Mailing address
235 S Palisade Dr
Santa Maria, CA 93454-5948
Phone (805) 739-3561
Other practice location 1
220 S Palisade Dr Ste 203
Santa Maria, CA 93454-8903
Phone (805) 354-7101
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-1683892 | Other | CA | OTHER INSURANCE |
| RHM08609F | Medicaid | CA | |
| RHM18553H | Medicaid | CA | |
| 050394 | Other | CA | BLUE CROSS |
| ZZT40394F | Medicaid | CA | |
| RHM08608F | Medicaid | CA | |
| 1215903018 | Other | CA | NPI |
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
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 E Main St
Suite 104 C
Santa Maria, CA 93454-4825
Phone (805) 349-8514
Hospital & facility affiliations
- Dignity Health Home Health
- Central Coast Home Health Inc
- Marian Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.33 of 100
- Quality
- 29.5
- Improvement activities
- 0
- Cost
- 80.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5737 | CA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients | |
| Windsor Family Practice | Family Medicine | Past | Accepting new patients |
Locations
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000
1400 E Church St
Bldg B
Santa Maria, CA 93454
235 S Palisade Dr
Santa Maria, CA 93454
Phone (805) 739-3561
220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101
117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
1400 E Church St
Ofc
Santa Maria, CA 93454
Phone (805) 739-3112
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.
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
-
- Internal Medicine Physician
- Santa Maria, CA
- NPI 1609096882
-
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1124067574
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Community Health Clinic/Center
- Nipomo, CA
- NPI 1417555061
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
- Family Medicine Physician
- Ventura, CA
- NPI 1427704733
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1407894652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 S PALISADE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545948",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S PALISADE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3561"
}
],
"practiceLocations": [
{
"address_1": "220 S Palisade Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934548903",
"country_code": "US",
"telephone_number": "805-354-7101",
"fax_number": "805-354-7102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULIDO",
"first_name": "VICTOR",
"middle_name": "ISMAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A5737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INSURANCE",
"identifier": "95-1683892",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08609F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM18553H",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050394",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40394F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08608F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215903018",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.