Individual provider Active NPI

Angela Nathalie Pullen, M.D.

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
National Provider Identifier
1417339961
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A162491 Issued in CA
Practice address
35 Casa St Ste 220
San Luis Obispo, CA 93405
Phone
(805) 595-1808
Fax
(805) 595-1815
NPI assigned
Jun 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT208906 PA
Obstetrics & Gynecology Physician 207V00000X A162491 CA Primary

Addresses

Primary practice location

35 Casa St Ste 220
San Luis Obispo, CA 93405

Mailing address

35 Casa St Ste 220
San Luis Obispo, CA 93405-1890
Phone (805) 595-1808

Other practice location 1

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-7612

Other practice location 2

35 Casa St Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

Other names 1

  • Angela Nathalie Halusic Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191105002768 CA Practitioner - Obstetrics/Gynecology 5597097816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1064 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 542-9678

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

35 Casa St
San Luis Obispo, CA 93405-1894

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162491CAMDObstetrics & Gynecology Physician
MT208906PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Sep 1, 2019 Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

35 Casa St
Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

1220 Las Tablas Rd
#1418
Templeton, CA 93465
Phone (805) 434-1825

Interoperability endpoints

  • Direct secure messaging: angela.pullen.1@31068.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1417339961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051890",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST STE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93405",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Casa St Ste 220",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "93405",
            "country_code": "US",
            "telephone_number": "805-595-1808",
            "fax_number": "805-595-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "ANGELA",
        "middle_name": "NATHALIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT208906",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A162491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HALUSIC",
            "middle_name": "NATHALIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.