Paula Bullock, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

412933 Issued in CA

Practice address

600 B St
Suite 1570
San Diego, CA 92101-4520

Phone

(619) 615-0439

NPI assigned

Jul 11, 2014

Sex

Female

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1639585532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 LAURETTA ST",
            "address_2": "A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102469",
            "telephone_number": "619-972-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "address_2": "SUITE 1570",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014520",
            "telephone_number": "619-615-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "PAULA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "412933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riyan Buller, FNP
• Tiffany Bullistron
• Andrew Colin Bullock, DO
• Dina Bullock, LCSW
• Jesse Donald Bullock
• Riann Bullock, MSTOM, LAC
• Katherine M Bulman, RN
• Kwi Young Byun Bulow, M.D.
• Eric Bultman, M.D.
• Carolina Hernandez Buluran, D.D.S.

• Psychiatric/Mental Health Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.