Amy Ruth Cullen, M.D., M.A.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80157 Issued in CA

Practice address

484 Calle Cadiz Unit B
Laguna Woods, CA 92637-8925

Phone

(949) 887-1017

NPI assigned

Dec 9, 2006

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Hospice, LLC Hospice, Fountain Valley, CA, CCN 921560

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.cullen.1@33925.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Compassionate Care Hospice, LLC.

  • Community Based Hospice Care Agency
  • Fountain Valley, CA
  • NPI 1730506742

  Operational/Managerial Control

  CMS ownership

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.

• Housecall Doctors Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1033164017
  Medicare reassignment NPD
• Wound Solutions of California

  dba Navin Saran MD

  • Internal Medicine Physician
  • Westminster, CA
  • NPI 1871319046
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassionate Care Hospice, LLC.

  • Community Based Hospice Care Agency
  • Fountain Valley, CA
  • NPI 1730506742
  Care Compare affiliation

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1992865281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 CALLE CADIZ B",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378925",
            "telephone_number": "949-887-1017",
            "fax_number": "949-234-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 CALLE CADIZ UNIT B",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378925",
            "telephone_number": "949-887-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3210 Idaho Pl",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926262208",
            "country_code": "US",
            "telephone_number": "714-241-7283",
            "fax_number": "949-544-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Wayne Coker, M.D.
• Kent J Collins, AU.D.
• Cox Dental Corporation (Gentle Dental Laguna Woods)
• Lydia Creedon, MRI TECHNOLOGIST
• Csun Pharmaceutics Inc (Laguna Woods Pharmacy)
• Peter Vincent Phillip Dangvu, M.D.
• Alexandria Eve Dao, RT, MR
• Ferial Darbani
• Lyndsay T Defilippo, PT, DPT
• Ali Dehbozorgi

• Family Medicine Physician in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.