MR. PULMER JACK PULIDO PMHNP
NPI 1578256228
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA

Q: What is Pulmer Jack Pulido's NPI number?

The NPI number for Pulmer Jack Pulido is 1578256228. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Q: What is Pulmer Jack Pulido's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 30, 2023PECOS EnrolledAccepts Medicare Assignment

1360 E ANAHEIM ST STE 101, LONG BEACH, CA 90813(562) 270-0324(562) 591-0109 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Pulmer Jack Pulido Pmhnp NPPES

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

MR. PULMER JACK PULIDO PMHNP (NPI 1578256228) is an individual psychiatric/mental health provider in Long Beach, California, licensed in California (95025259) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578256228

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. PULMER JACK PULIDOCredential: PMHNP

Location Address1360 E ANAHEIM ST STE 101Long Beach, CA 90813-5515

Mailing Address1360 E Anaheim St Ste 101Long Beach, CA 90813-5515 · (562) 270-0324 · Fax (562) 591-0109

Phone(562) 270-0324

Fax(562) 591-0109

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMay 30, 2023

NPPES CertifiedMay 30, 2023

✔ NPI 1578256228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95025259

1360 E ANAHEIM ST STE 101, Long Beach, CA 90813

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Pulmer Jack Pulido Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749715753

PECOS Enrollment IDI20241128000083

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 Reassignment

Medicare enrollment records show Pulmer Jack Pulido reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Wellness Centers Usa

2.1 mi

Federally Qualified Health Center (FQHC)

1360 E ANAHEIM ST, SUITE 101
Long Beach, CA 90813

Reassigned Medicare billing, California enrollment
37 clinicians in this Medicare group

NPI 1235500513 (562) 270-0324

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MALLORY NESBERG

Social Worker (Clinical)