Organization Active NPI

Daniel B Cullan II MD Inc

  • Specialist
  • Chula Vista, CA
National Provider Identifier
1801075643
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A91104 Issued in CA
Legal business name
DANIEL B CULLAN II MD INC
Practice address
955 Lane Ave Ste 200
Chula Vista, CA 91914-4525
Phone
(619) 421-3400
Fax
(619) 421-3557
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Daniel B Cullan II, M.D. INC.
Title
Orthopaedic Surgeon
Phone
(619) 421-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A91104 CA Primary

Addresses

Primary practice location

955 Lane Ave Ste 200
Chula Vista, CA 91914-4525

Mailing address

955 Lane Ave Ste 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400

Other identifiers 1

IdentifierTypeStateIssuer
00A911040MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1801075643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B CULLAN II MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "CULLAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "619-421-3400",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D. INC."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A91104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A911040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.