Jeffrey Brian Kullmann, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCS13661 Issued in CA

Practice address

18811 Huntington St
Suite 200
Huntington Beach, CA 92648

Phone

(714) 847-8022

Fax

(714) 847-8710

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881610798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-847-8022",
            "fax_number": "714-847-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-847-8022",
            "fax_number": "714-847-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLMANN",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS13661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Louise Kruse, LMFT
• Sheila Krussman, LMFT
• Krystal Pham DDS, Inc.
• Thomas L Kuhn, M.D.
• Aditi Kulkarni
• Kumar S. Raja, M.D Inc
• Akanksha Kumar
• Mohan Priyakantha Kumaratne, M.D.
• Jeffrey Kunze, D.P.T.
• Reiko Allyson Kurihara, MPT

• Social Worker in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.