Active NPI
Danielle Lorraine Pullin
- Rehabilitation Practitioner
- San Andreas, CA
National Provider Identifier
1619576402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 23 E. St. Charles Street
Behavioral Health Department
San Andreas, CA 95249 - Phone
- (209) 754-6525
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
23 E. St. Charles Street
Behavioral Health Department
San Andreas, CA 95249
Mailing address
891 Mountain Ranch Road
Behavioral Health Department
San Andreas, CA 95249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1619576402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 MOUNTAIN RANCH ROAD",
"address_2": "BEHAVIORAL HEALTH DEPARTMENT",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "95249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 E. ST. CHARLES STREET",
"address_2": "BEHAVIORAL HEALTH DEPARTMENT",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "95249",
"telephone_number": "209-754-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLIN",
"first_name": "DANIELLE",
"middle_name": "LORRAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Andreas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.