Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
AMY PULLIZZI
Complete NPI Record 1619383502
Nurse Practitioner - Family in San Diego, CA
Active since July 11, 2014PECOS Enrolled
Complete NPI Dataset
This page contains the complete raw NPPES record for Amy Pullizzi (NPI 1619383502), an individual nurse practitioner provider in San Diego, CA. All 34 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1619383502 Field 1/34
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/34
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: PULLIZZI Field 3/34
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: AMY Field 4/34
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: FILE 57326 Field 5/34
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: LOS ANGELES Field 6/34
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 7/34
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 900747326 Field 8/34
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/34
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8009268273 Field 10/34
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 200 W ARBOR DR Field 11/34
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAN DIEGO Field 12/34
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 13/34
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 921039000 Field 14/34
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/34
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8009268273 Field 16/34
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8885398781 Field 17/34
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 20/34
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LF0000X Field 21/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 95002862 Field 22/34
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: CA Field 23/34
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 163W00000X Field 25/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 657426-1 Field 26/34
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: NY Field 27/34
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 28/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 163W00000X Field 29/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 3: RN95045427 Field 30/34
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 3: CA Field 31/34
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 32/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 33/34
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 38
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
18145 US Highway 18 Ste C
Location 1/38Apple Valley, CA 92307-2210 · Phone (888) 777-1945
50 Alessandro Pl Ste 130
Location 2/38Pasadena, CA 91105-4009 · Phone (888) 777-1945
11306 Mountain View Ave Ste B
Location 3/38Loma Linda, CA 92354-3832 · Phone (888) 777-1945
7301 Medical Ctr Ste 300
Location 4/38West Hills, CA 91307-1973 · Phone (888) 777-1945
2701 W Alameda Ave Ste 507
Location 5/38Burbank, CA 91505-4410 · Phone (888) 777-1945
1981 N Broadway Ste 190
Location 6/38Walnut Creek, CA 94596-3671 · Phone (888) 777-1945
24355 Lyons Ave Ste 211
Location 7/38Santa Clarita, CA 91321-2382 · Phone (888) 777-1945
625 Citracado Pkwy Ste 204
Location 8/38Escondido, CA 92025-6428 · Phone (888) 777-1945
117 E 8th St # 100
Location 9/38Long Beach, CA 90813-4397 · Phone (888) 777-1945
3300 Webster St Ste 900
Location 10/38Oakland, CA 94609-3156 · Phone (888) 777-1945
1400 Reynolds Ave # 201202
Location 11/38Irvine, CA 92614-5559 · Phone (888) 777-1945
9033 Wilshire Blvd Ste 401
Location 12/38Beverly Hills, CA 90211-1847 · Phone (888) 777-1945
8339 Brimhall Rd Ste 1301
Location 13/38Bakersfield, CA 93312-4088 · Phone (888) 777-1945
1125 E Spruce Ave Ste 201
Location 14/38Fresno, CA 93720-3390 · Phone (888) 777-1945
79440 Corporate Center Dr Ste 101
Location 15/38LA Quinta, CA 92253-7243 · Phone (888) 777-1945
4520 Executive Dr Ste 227
Location 16/38San Diego, CA 92121-3020 · Phone (888) 777-1945
5620 Wilbur Ave Ste 310
Location 17/38Tarzana, CA 91356-1371 · Phone (888) 777-1945
333 University Ave Ste 140
Location 18/38Sacramento, CA 95825-6535 · Phone (888) 777-1945
501 N Central Ave
Location 19/38Glendale, CA 91203-1901 · Phone (888) 777-1945
8881 Fletcher Pkwy Ste 385
Location 20/38LA Mesa, CA 91942-6106 · Phone (888) 777-1945
77 Rolling Oaks Dr Ste 201
Location 21/38Thousand Oaks, CA 91361-1018 · Phone (888) 777-1945
11160 Warner Ave Ste 421
Location 22/38Fountain Valley, CA 92708-4056 · Phone (888) 777-1945
27555 Ynez Rd Ste 370
Location 23/38Temecula, CA 92591-4678 · Phone (888) 777-1945
9730 Mission Gorge Rd
Location 24/38Santee, CA 92071-3808 · Phone (866) 389-2727
2720 N Harbor Blvd Ste 200
Location 25/38Fullerton, CA 92835-2626 · Phone (888) 777-1945
5700 Ralston St Ste 110
Location 26/38Ventura, CA 93003-7889 · Phone (888) 777-1945
24012 Calle De La Plata Ste 230
Location 27/38Laguna Hills, CA 92653-7623 · Phone (888) 777-1945
6485 Day St Ste 302
Location 28/38Riverside, CA 92507-0926 · Phone (888) 777-1945
1104 Buchanan Rd Ste B5
Location 29/38Antioch, CA 94509-4233 · Phone (888) 777-1945
2121 Wilshire Blvd Ste 303
Location 30/38Santa Monica, CA 90403-5743 · Phone (888) 777-1945
23456 Hawthorne Blvd Ste 140
Location 31/38Torrance, CA 90505-4716 · Phone (888) 777-1945
440 N Mountain Ave Ste 103
Location 32/38Upland, CA 91786-5183 · Phone (888) 777-1945
1200 Garden View Rd
Location 33/38Encinitas, CA 92024-2477 · Phone (800) 926-8273 · Fax (888) 539-8781
9400 Campus Point Dr
Location 34/38LA Jolla, CA 92093-1350 · Phone (800) 926-8273 · Fax (888) 539-8781
16950 Via Tazon
Location 35/38San Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781
910 Sycamore Ave Ste 102
Location 36/38Vista, CA 92081-7833 · Phone (800) 926-8273 · Fax (888) 539-8781
4250 1st Ave
Location 37/38San Diego, CA 92103-2026 · Phone (800) 926-8273 · Fax (888) 539-8781
3855 Health Sciences Dr
Location 38/38LA Jolla, CA 92093-1503 · Phone (800) 926-8273 · Fax (888) 539-8781
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