Active NPI
Allan W. Tulloch, M.D.
- Vascular Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 104567
- Practice address
- 8631 W 3Rd St
Suite #615 E
Los Angeles, CA 90048-5901 - Phone
- (310) 652-8132
- Fax
- (310) 659-3815
- NPI assigned
- Oct 3, 2007
- Last updated
- Aug 13, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 104567 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St
Suite #615 E
Los Angeles, CA 90048-5901
Mailing address
1505 S Bentley Ave Apt 304
Los Angeles, CA 90025-3317
Phone (646) 263-5842
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Missouri, Columbia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-4813
8631 W 3Rd St
Suite 615E
Los Angeles, CA 90048-5910
Phone (310) 652-8132
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 77.83
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.16 of 100
- Quality
- 71.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 242 |
| Leg revascularization (restoring blood flow) | 101 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104567 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint John's Health Center | Current | Accepting new patients | |
| Vascular Surgery Associates | Vascular Surgery | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Vascular Surgery Associates | Vascular Surgery | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Kidney Transplant Associates | Past | Accepting new patients |
Locations
8631 W 3rd St
#615E
Los Angeles, CA 90048
Phone (310) 652-8132
8631 W 3rd St
Ste 615
Los Angeles, CA 90048
Phone (310) 652-8132
8631 W 3rd St
Ste 615E
Los Angeles, CA 90048
Phone (310) 652-8132
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- atulloch202138@direct.cshs.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Vascular Surgery Physician
- Los Angeles, CA
- NPI 1538871686
-
- Vascular Surgery Physician
- Los Angeles, CA
- NPI 1154341691
-
- Transplant Surgery Physician
- Los Angeles, CA
- NPI 1417036203
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- Home Health Agency
- Van Nuys, CA
- NPI 1801831383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1679760698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 S BENTLEY AVE APT 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253317",
"telephone_number": "646-263-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST",
"address_2": "SUITE #615 E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-652-8132",
"fax_number": "310-659-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLOCH",
"first_name": "ALLAN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "104567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.