Active NPI
Gloria Ann Cullen, DC
- Chiropractor
- Pasadena, CA
National Provider Identifier
1417003617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC12512
- Practice address
- 21 S Roosevelt Ave
Pasadena, CA 91107-4124 - Phone
- (626) 796-4866
- NPI assigned
- Jan 28, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC12512 | CA | Primary |
Addresses
Primary practice location
21 S Roosevelt Ave
Pasadena, CA 91107-4124
Mailing address
21 S Roosevelt Ave
Pasadena, CA 91107-4124
Phone (626) 796-4866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 953925033 | Other | FEDERAL TAX NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417003617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 S ROOSEVELT AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074124",
"telephone_number": "626-796-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S ROOSEVELT AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074124",
"telephone_number": "626-796-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "GLORIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC12512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX NUMBER",
"identifier": "953925033",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.