Active NPI
Iskren G Puhlev, FNP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1437493160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22409
- 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
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 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Valley Pain & Wellness Management Inc. | Current | Accepting new patients |
Locations
485 Broadway Ave
Ste F
El Centro, CA 92243
Phone (760) 970-4064
Interoperability endpoints
- iskren.puhlev@1197.securemail.prognocis.com
- 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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- El Centro, CA
- NPI 1265392674
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.