Individual provider

Peter Rullan, M.D.

Procedural Dermatology Physician Dermatology Physician MOHS-Micrographic Surgery Physician Medicare enrolled

Peter Rullan, M.D. is a Procedural Dermatology Physician in Chula Vista, CA, registered under NPI 1114963170. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 256 LANDIS AVE 3RD FLOOR, Chula Vista, CA 91910. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

256 LANDIS AVE 3RD FLOOR, Chula Vista, CA 91910 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G42243 CA Procedural Dermatology Physician primary
G42243 CA Dermatology Physician
G42243 CA MOHS-Micrographic Surgery Physician

This provider holds licence G42243 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
3678572021

Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Procedural Dermatology covers

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
Allopathic & Osteopathic Physicians Dermatology Procedural Dermatology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207NS0135X Procedural Dermatology Physician Procedural Dermatology G42243 CA primary
207N00000X Dermatology Physician G42243 CA
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery G42243 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114963170 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 20, 2006
Last updatedMar 7, 2013
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 256 LANDIS AVE
3RD FLOOR
Chula Vista, CA 91910
(619) 426-9600
Fax (619) 426-4112
Other identifiers ZZZ73699Z (CA)
This record was last updated on Mar 7, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1114963170 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 9 6 3 1 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 9 6 6 1 5

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114963170?
NPI 1114963170 is the National Provider Identifier assigned to Peter Rullan, M.D. in Chula Vista, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Procedural Dermatology cover?
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration…
How do I contact Peter Rullan, M.D.?
The phone number on file with NPPES is (619) 426-9600, last updated Mar 7, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Peter Rullan, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114963170 a valid number?
Yes. 1114963170 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.