Individual provider Active NPI

Michelle Deveza Gully

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1801557947
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019468 Issued in CA
Practice address
10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375
Phone
(844) 200-2426
Fax
(619) 474-4008
NPI assigned
Dec 30, 2021
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95019468 CA Primary

Addresses

Primary practice location

10737 Camino Ruiz Ste 235
San Diego, CA 92126-2375

Mailing address

637 3Rd Ave Ste E1
Chula Vista, CA 91910-5707
Phone (844) 200-2426

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
I20230511002427 CA Practitioner - Nurse Practitioner 9638535966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Operation Samahan IncGroup PAC ID 7911932645, 2 clinicians
Afshin a Nahavandi MD IncGroup PAC ID 5890928659, 4 clinicians
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

10737 Camino Ruiz
Suite 235
San Diego, CA 92126-2375
Phone (858) 578-4220

304 N Melrose Dr
Vista, CA 92083-4814
Phone (760) 724-8222

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95019468CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. CurrentSince Jan 14, 2024 Accepting new patients
Afshin a Nahavandi MD, Inc CurrentSince Nov 1, 2024 Accepting new patients
Operation Samahan, Inc. CurrentSince Sep 27, 2025 Accepting new patients
Operation Samahan, Inc. Current Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

304 N Melrose Dr
Vista, CA 92083
Phone (760) 724-8222

Interoperability endpoints

  • Direct secure messaging: michelle.gully@opsam.eclinicaldirectplus.com

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 1

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1801557947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE STE E1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262375",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLY",
        "first_name": "MICHELLE",
        "middle_name": "DEVEZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.