Active NPI
Phyllis a Cullen MD Inc
- Interventional Pain Medicine Physician
- Chico, CA
National Provider Identifier
1881883320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ06195Z | Other | CA | MEDICARE GROUP PTAN |
| 00G324032 | Other | CA | MEDICARE INDIVIDUAL PTAN |
National Provider Directory
National Provider DirectoryLocations
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.