Organization Active NPI

Phyllis a Cullen MD Inc

  • Interventional Pain Medicine Physician
  • Chico, CA
National Provider Identifier
1881883320
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PHYLLIS A CULLEN MD INC
Practice address
274 Cohasset Rd
Suite 110
Chico, CA 95926-2236
Phone
(530) 891-0325
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Marc Cullen
Title
Secretary
Phone
(530) 895-3287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

274 Cohasset Rd
Suite 110
Chico, CA 95926-2236

Mailing address

PO Box 1477
Hilo, HI 96721-1477
Phone (530) 895-3287

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ06195ZOtherCAMEDICARE GROUP PTAN
00G324032OtherCAMEDICARE INDIVIDUAL PTAN

National Provider Directory

National Provider Directory

Locations

615 W East Ave
Chico, CA 95926
Phone (530) 487-8114

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1881883320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967211477",
            "telephone_number": "530-895-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 COHASSET RD",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262236",
            "telephone_number": "530-891-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS A CULLEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "530-895-3287"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ06195Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "00G324032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.