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MARY JANE BERTULFO
NPI 1477407385
Clinic/Center - Health Service in San Diego, CA

Active since February 26, 2026
4029 CHAMOUNE AVE APT 3, SAN DIEGO, CA 92105(442) 300-8855 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jane Bertulfo NPPES

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

MARY JANE BERTULFO (NPI 1477407385) is an individual health service provider in San Diego, California and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1477407385
Entity TypeIndividualFemale
Primary Taxonomy261QH0100X
Provider Legal NameMARY JANE BERTULFO
Location Address4029 CHAMOUNE AVE APT 3San Diego, CA 92105-1844
Mailing Address4029 Chamoune Ave Apt 3San Diego, CA 92105-1844 · (442) 300-8855
Phone(442) 300-8855
Sole ProprietorYes
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1477407385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4029 CHAMOUNE AVE APT 3, San Diego, CA 92105
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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 Mary Jane Bertulfo's NPI number?

The NPI number for Mary Jane Bertulfo is 1477407385. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Mary Jane Bertulfo located?

Mary Jane Bertulfo practices at 4029 Chamoune Ave Apt 3, San Diego, CA 92105. The listed phone number is (442) 300-8855.

What is Mary Jane Bertulfo's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Mary Jane Bertulfo was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.