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

Theresa Anne Poulos

Individual provider Family Medicine Physician · NPI 1588050173

Theresa Anne Poulos is a Family Practice in Santa Monica, California. Graduated from University of California, San Francisco School of Medicine in 2015, 11 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1131 Wilshire Blvd Ste 300
Santa Monica, CA 90401-2066
Phone: (310) 395-5588
Fax: (310) 395-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A145848 (CA)

Record details

NPI number1588050173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Santa Monica