Active NPI
Stella M. Bulengo, M.D.
- Dermatology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- S2739
- Practice address
- 3320 Oakwell CT
San Antonio, TX 78218-3128 - Phone
- (210) 829-5180
- Fax
- (210) 829-5030
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G183935 | CA | |
| Dermatology Physician | 207N00000X | S2739 | TX | Primary |
Addresses
Primary practice location
3320 Oakwell CT
San Antonio, TX 78218-3128
Mailing address
18018 Overlook Loop Ste 105
San Antonio, TX 78259-1883
Other practice location 1
3828 Schaufele Ave Ste 300
Long Beach, CA 90808-1793
Phone (562) 997-1144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME129589 | Other | FL | FL MEDICAL LICENSE |
| S2739 | Other | TX | TX MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Michigan Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3828 Schaufele Ave
Suite 300
Long Beach, CA 90808-1793
Phone (562) 543-0469
400 Newport Ctr Dr
Suite 702
Newport Beach, CA 92660-7669
Phone (949) 644-0101
Hospital & facility affiliations
- Confluence Health Hospital
- Prosser Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 80 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 57 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G183935 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Epiphany Dermatology PA | Dermatology | Current | Accepting new patients |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Texas Dermatology and Laser Specialists PLLC | Dermatology | Current | Accepting new patients |
| Csi Medical Group | Dermatology | Current | Accepting new patients |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients | |
| Skin Care Physicians of Georgia, P.C. | Dermatology | Past | Accepting new patients |
Locations
9460 No Name Uno
Ste 210
Gilroy, CA 95020
Phone (408) 847-0888
25815 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (909) 796-0224
9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008
525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600
18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407
7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338
3320 Oakwell Ct
San Antonio, TX 78218
18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
701 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sbulengo650123@direct.emplifyhealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Dermatology Physician
- San Antonio, TX
- NPI 1053653949
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Multi-Specialty Clinic/Center
- Prosser, WA
- NPI 1285445056
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
-
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
-
- Dermatology Physician
- Macon, GA
- NPI 1346351582
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1194717447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18018 OVERLOOK LOOP STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782591883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 OAKWELL CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183128",
"telephone_number": "210-829-5180",
"fax_number": "210-829-5030"
}
],
"practiceLocations": [
{
"address_1": "3828 Schaufele Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908081793",
"country_code": "US",
"telephone_number": "562-997-1144",
"fax_number": "562-997-9881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULENGO",
"first_name": "STELLA",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G183935",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "S2739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICAL LICENSE",
"identifier": "ME129589",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICAL LICENSE",
"identifier": "S2739",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.