MARC BULLOCK CCDS NPI 1558290130

NPI Information

  • NPI: 1558290130
  • Provider Name: MARC BULLOCK, CCDS
  • Classification: Specialist/Technologist Cardiovascular - 246X00000X
  • Entity Type: Individual
  • Address: 87 ENCINA AVE
    PALO ALTO, CA
    ZIP 94301
  • Phone: (707) 290-6960

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NPI Details

Marc Bullock, CCDS is a specialist technologist cardiovascular in Palo Alto, CA. The provider is an allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs Marc Bullock, CCDS NPI is 1558290130. 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:

87 ENCINA AVE
PALO ALTO, CA
ZIP 94301-322
Phone: (707) 290-6960

The enumeration date for this NPI number is 5/18/2026 and was last updated on 5/18/2026.

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
1246X00000XSpecialist/Technologist CardiovascularYes

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: 11/21/2025

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