Individual provider Active NPI

Iskren G Puhlev, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1437493160
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22409 Issued in CA
Practice address
3444 Kearny Villa Rd Ste 202
San Diego, CA 92123-1960
Phone
(858) 429-7646
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22409 CA Primary

Addresses

Primary practice location

3444 Kearny Villa Rd Ste 202
San Diego, CA 92123-1960

Mailing address

5664 Arbor Grove CT
San Diego, CA 92121-4343
Phone (858) 222-3823

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329002281 CA Practitioner - Nurse Practitioner 0840552915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Pain & Wellness Management Inc. CurrentSince Jan 4, 2026 Accepting new patients

Locations

485 Broadway Ave
Ste F
El Centro, CA 92243
Phone (760) 970-4064

Interoperability endpoints

  • Direct secure messaging: iskren.puhlev@1197.securemail.prognocis.com
  • Direct secure messaging: iskren.puhlev@4341.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1437493160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 ARBOR GROVE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214343",
            "telephone_number": "858-222-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231960",
            "telephone_number": "858-429-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHLEV",
        "first_name": "ISKREN",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.