Paul Kent Cullen Jr., M.D.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CFE 30319 Issued in CA

Practice address

4823 Via Los Santos
Santa Barbara, CA 93111-1329

Phone

(805) 964-4130

NPI assigned

Mar 18, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1447574587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111329",
            "telephone_number": "805-964-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4823 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111329",
            "telephone_number": "805-964-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "PAUL",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "CFE 30319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Cruz
• Cristian J Cruzio, BA
• Alyssa Pauline Cuevas
• Randy L Cuevas
• Leonard Cuff
• Sheila Cullen, SLP
• Robert Culp, PSY.D.
• Rory Culp
• Stephanie Culver, M.D.
• Lauren Myles Cumberbatch, LMFT

• Community Health Worker in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.