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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: August 23, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 15 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.