Shameka Bullard

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C035650915 Issued in CA

Practice address

10603 Downey Ave
Downey, CA 90241-3426

Phone

(562) 622-2268

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Southern California Alcohol and Drug Programs, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Downey, CA
  • NPI 1417037540
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1447770714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GAVIOTA AVE APT 7",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908136340",
            "telephone_number": "562-215-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413426",
            "telephone_number": "562-622-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "SHAMEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C035650915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Buckner
• David Bugos, PHARMACIST
• Kathy Bui, RN
• Kim CHI Thanh Bui, M.D.
• Boid Buie
• Molly So Bun
• Marylou Bunn
• Derek Burkeman, PH.D.
• Dennis Burog
• Wendy Burton, CCC-SP

• Addiction (Substance Use Disorder) Counselor in Downey, CA
• Providers in Downey, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.