JEFFREY EDWARD BULGER PA NPI 1942245857

NPI Information

NPI: 1942245857
Provider Name: JEFFREY EDWARD BULGER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ORANGE COUNTY THORACIC AND CARDIOVASCULAR SURGEONS A MED CORP

PECOS Registration: Yes

Address:
27700 MEDICAL CENTER RD
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 364-1400
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Jeffrey Edward Bulger, PA is a surgical physician assistant in Mission Viejo, CA with 22 years of experience. Jeffrey Edward Bulger, PA NPI is 1942245857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27700 MEDICAL CENTER RD
MISSION VIEJO, CA
ZIP 92691-426
Phone: (949) 364-1400

The NPI 1942245857 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		PA18054	CALIFORNIA	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		PA18054	CALIFORNIA	No
3	363AS0400X	Physician Assistant	Surgical	PA18054	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00PA18054	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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