Ken Jiro Bulpitt, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G59166 Issued in CA

Practice address

UCLA Medical Group
200 Medical Plaza, B365
Los Angeles, CA 90095-0001

Phone

(310) 743-5203

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1619902764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VETERAN AVE",
            "address_2": "DIVISION OF RHEUMATOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951670",
            "telephone_number": "310-743-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL GROUP",
            "address_2": "200 MEDICAL PLAZA, B365",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-743-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULPITT",
        "first_name": "KEN",
        "middle_name": "JIRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G59166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619902764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew G. Bullock, MD
• April S. Bullock, MSW,ACSW
• Joan Bullock, PH.D.
• Rachel Bullock
• Jennifer Levy Bulow, LCSW
• Allison Mae Buluran
• Yonca Bulut, M.D.
• Aram Bulutyan, NP
• Jonathan Esguerra Bumanlag, PT
• Matthew Conway Bumpass

• Rheumatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.