Individual provider Active NPI

Carene Parulan

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1659996759
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012860 Issued in CA
Practice address
14200 Meridian Pkwy # 101
Riverside, CA 92518-3044
Phone
(951) 653-0655
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012860 CA Primary

Addresses

Primary practice location

14200 Meridian Pkwy # 101
Riverside, CA 92518-3044

Mailing address

12542 Peachleaf St
Moreno Valley, CA 92553-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401001467 CA Practitioner - Nurse Practitioner 8325434269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hill Health Inc a Medical CorporationGroup PAC ID 8527362037, 10 clinicians

Practice addresses (Care Compare)

3300 Webster St
Suite 1000
Oakland, CA 94609-3125
Phone (510) 271-4400

Hospital & facility affiliations

  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Health Inc a Medical Corporation CurrentSince Sep 6, 2022 Accepting new patients

Locations

3300 Webster St
Ste 1000
Oakland, CA 94609
Phone (510) 271-4400

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1659996759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12542 PEACHLEAF ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 MERIDIAN PKWY # 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183044",
            "telephone_number": "951-653-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARULAN",
        "first_name": "CARENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.