Active NPI
Fabiola Bulux
- Ambulatory Care Registered Nurse
- San Fernando, CA
National Provider Identifier
1972023729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 834389
- Practice address
- 1212 Pico St
San Fernando, CA 91340-3503 - Phone
- (818) 627-4721
- Fax
- (818) 627-4758
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 834389 | CA | Primary |
Addresses
Primary practice location
1212 Pico St
San Fernando, CA 91340-3503
Mailing address
1212 Pico St
San Fernando, CA 91340-3503
Phone (818) 627-4721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 834389 | CA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1972023729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PICO ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403503",
"telephone_number": "818-627-4721",
"fax_number": "818-627-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PICO ST",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913403503",
"telephone_number": "818-627-4721",
"fax_number": "818-627-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULUX",
"first_name": "FABIOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "834389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.