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RENITA JEJUAN PULLENS D.O.
NPI 1093791667
General Practice in Sherman Oaks, CA

Active since December 15, 2005PECOS Enrolled
15315 MAGNOLIA BLVD., ROZE ROOM HOSPICE OF THE VALLEY, SHERMAN OAKS, CA 91403(818) 783-1002(818) 783-1066 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Renita Jejuan Pullens D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENITA JEJUAN PULLENS D.O. (NPI 1093791667) is an individual general practice provider in Sherman Oaks, California, licensed in California (20A8326) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093791667
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameRENITA JEJUAN PULLENSCredential: D.O.
Location Address15315 MAGNOLIA BLVD., ROZE ROOM HOSPICE OF THE VALLEYSherman Oaks, CA 91403
Mailing Address23622 Calabasas Rd, Ste 250Calabasas, CA 91302-1549 · (818) 591-3435
Phone(818) 783-1002
Fax(818) 783-1066
Sole ProprietorNo
Enumeration DateDecember 15, 2005
Last NPPES UpdateNovember 2, 2010
✔ NPI 1093791667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A8326
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
15315 MAGNOLIA BLVD., Sherman Oaks, CA 91403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renita Jejuan Pullens D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Renita Pullens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wound Care Rx
9.7 mi
Clinic/Center
9528 TOPANGA CANYON BLVD
Chatsworth, CA 91311
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1871481168 (818) 634-7091
Lakeside Medical Organization, A Medical Group Inc.
10 mi
Internal Medicine
8501 FALLBROOK AVE STE 300
West Hills, CA 91304
  • Reassigned Medicare billing, California enrollment
  • 205 clinicians in this Medicare group
NPI 1831426642 (818) 654-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDCO SHUTTLE
Non-emergency Medical Transport (VAN)
15315 MAGNOLIA BLVD., #428
SHERMAN OAKS, CA 91403
Los Angeles County (800) 609-9070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renita Pullens's NPI number?

The NPI number for Renita Pullens is 1093791667. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Renita Pullens located?

Renita Pullens practices at 15315 Magnolia Blvd. Roze Room Hospice Of The Valley, Sherman Oaks, CA 91403. The listed phone number is (818) 783-1002.

What is Renita Pullens's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Renita Pullens enrolled in Medicare?

Yes. Renita Pullens is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Renita Pullens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renita Pullens reassigns Medicare benefits to 2 organizations: Wound Care Rx (Chatsworth, CA) and Lakeside Medical Organization, A Medical Group Inc. (West Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renita Pullens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Renita Pullens was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.