Individual provider Active NPI

Allan W. Tulloch, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1679760698
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
104567 Issued in CA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003658 CA Practitioner - Vascular Surgery 1052626256 Reassigns benefits to 4 organizations

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
Providence Saint Johns Health CenterGroup PAC ID 4183681810, 4 clinicians
Vascular Surgery AssociatesGroup PAC ID 3072984129, 5 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

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 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
71.79
Promoting interoperability
100
Improvement activities
40
Cost
68.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal242
Leg revascularization (restoring blood flow)101
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104567CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint John's Health Center CurrentSince Jan 1, 2017 Accepting new patients
Vascular Surgery Associates Vascular Surgery CurrentSince Aug 1, 2015 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Vascular Surgery Associates Vascular Surgery CurrentSince Jan 1, 2023 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.