DR. PATRICE ARLENE TULLY M.D.
NPI 1871847186
Family Medicine in Los Angeles, CA

Active since November 08, 2012PECOS Enrolled
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033(323) 442-5900 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, Feb 15, 2022, Jul 6, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Patrice Arlene Tully M.d. NPPES

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

DR. PATRICE ARLENE TULLY M.D. (NPI 1871847186) is an individual family medicine provider in Los Angeles, California, licensed in California (A146948) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871847186
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICE ARLENE TULLYCredential: M.D.
Location Address1520 SAN PABLO ST STE 1300Los Angeles, CA 90033-5312
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5900
Sole ProprietorNo
Enumeration DateNovember 8, 2012
Last NPPES UpdateNovember 30, 20224 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
NPI 1871847186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A146948
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 SAN PABLO ST STE 1300, Los Angeles, CA 90033

Other Names 1

Other Name (5)Dr. Patrice Arlene Tully-williams M.d.

Secondary Practice Locations 3

Location 1461 W 144th StNew York, NY 10031-4733 · Phone (617) 771-0601
Location 2771 Montecito DrLos Angeles, CA 90031-1431 · Phone (617) 771-0601
Location 3759 Americana WayGlendale, CA 91210-1507 · Phone (833) 334-6393

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Patrice Arlene Tully M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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 20

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

Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033
Family Medicine
1520 SAN PABLO ST STE 1300
LOS ANGELES, CA 90033

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 Patrice Tully's NPI number?

The NPI number for Patrice Tully is 1871847186. It was assigned to this individual provider in the NPPES registry on November 8, 2012. The provider is also known as Dr. Patrice Arlene Tully-Williams M.D..

Where is Patrice Tully located?

Patrice Tully practices at 1520 San Pablo St Ste 1300, Los Angeles, CA 90033. The listed phone number is (323) 442-5900.

What is Patrice Tully's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patrice Tully enrolled in Medicare?

Yes. Patrice Tully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patrice Tully was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.