Active NPI
Marcelo Tula
- Psychiatric/Mental Health Registered Nurse
- Valencia, CA
National Provider Identifier
1669945135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95075029
- Practice address
- 23501 Cinema Dr Ste 200
Valencia, CA 91355-5430 - Phone
- (661) 288-4800
- NPI assigned
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95075029 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95075029 | CA | Primary |
Addresses
Primary practice location
23501 Cinema Dr Ste 200
Valencia, CA 91355-5430
Mailing address
23501 Cinema Dr
Valencia, CA 91355-5428
Phone (661) 288-4800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95075029 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554422400000",
"number": "1669945135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23501 CINEMA DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555428",
"telephone_number": "661-288-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23501 CINEMA DR STE 200",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555430",
"telephone_number": "661-288-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULA",
"first_name": "MARCELO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-08",
"last_updated": "2019-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95075029",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95075029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.