Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Rullan, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1447484811

Jennifer Rullan, MD is a Dermatology in Chula Vista, California. Graduated from Ponce School of Medicine in 2009, 17 years ago. Practices with South Bay Skin and Cancer Medical Group Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Ponce School of Medicine
Licensed in
CA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

256 Landis Ave Ste 300
Chula Vista, CA 91910-2650
Phone: (619) 422-1233
Fax: (619) 426-4112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A124794 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A124794 (CA)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence A124794 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A124794 (CA)

Record details

NPI number1447484811
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2009
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address256 Landis Ave, Suite 300, Chula Vista, CA 91910-2650

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice South Bay Skin And Cancer Medical Group Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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