DR. ANATOLY J BULKIN (NPI# 1275593154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275593154 |
| Entity Type | Individual |
| Full Name | DR. ANATOLY J BULKIN |
| Credential | M.D. |
| Practice Address |
625 W Citracado Pkwy Suite 203 Escondido CA 92025-6428 |
| Mailing Address |
Po Box 462079 Escondido CA 92046-2079 |
| Practice Telephone | 7607397666 |
| Practice Fax Number | 7607397633 |
| Mailing Telephone | 7607397666 |
| Mailing Fax Number | 7607397633 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | G79826 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G79826 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G798260 | 05 |
| Street Address |
625 W CITRACADO PKWY SUITE 203 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285948141 | Theresa Elena Meza | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2010-08-03 |
| 1376773648 | Nicole Bishop | Social Worker | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-07-21 |
| 1053541763 | Cheryl Estiva | Dentist | 625 W Citracado Pkwy, Suite #208, Escondido, CA 92025-6428 | 2009-07-16 |
| 1568696318 | Jennifer Fisher | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2009-05-08 |
| 1396998092 | Tahir R Paul Dental Corp | Dentist | 625 W Citracado Pkwy, Suite 208, Escondido, CA 92025-6428 | 2008-10-28 |
| 1922262849 | Theresa Marie Viglizzo | Rehabilitation Practitioner | 625 W Citracado Pkwy, 102, Escondido, CA 92025-6428 | 2008-07-10 |
| 1477715217 | Annie Patrice Burke-doe | Physical Therapist | 625 W Citracado Pkwy, Suite 102, Physical Therapy Department, Escondido, CA 92025-6428 | 2008-07-01 |
| 1003095589 | Rady Children's Outpatient Psychiatry | Psychiatric Hospital | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2007-10-31 |
| 1790971158 | Christin Lytle | Rehabilitation Practitioner | 625 W Citracado Pkwy, Escondido, CA 92025-6428 | 2007-09-19 |
| 1801081757 | Crystal Chilton | Counselor | 625 W Citracado Pkwy, Suite 102, Escondido, CA 92025-6428 | 2007-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427748 | Max Savin | Surgery | 225 East 2nd Ave Suite 310, Escondido, CA 92025 | 2006-04-19 |
| 1366515744 | Allen K. Chan, M.d., Inc. | Surgery | 488 E Valley Pkwy, Suite 404, Escondido, CA 92025-3363 | 2006-11-15 |
| 1780649954 | Greer Savin Mds Inc | Surgery | 225 East 2nd Ave, Suite 350, Escondido, CA 92025 | 2006-04-19 |
| 1205897592 | Surgical Associates of San Diego PC | Surgery | 625 W Citracado Pkwy, Suite 203, Escondido, CA 92025 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.