Individual provider Active NPI

Stella M. Bulengo, M.D.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1194717447
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
S2739 Issued in TX
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

Updated by the provider on May 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME129589OtherFLFL MEDICAL LICENSE
S2739OtherTXTX MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, CA, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190809000970 TX Practitioner - Dermatology 3274426051 Reassigns benefits to 1 organization
I20220316001097 WI Practitioner - Dermatology 3274426051 Reassigns benefits to 1 organization
I20230307002029 CA Practitioner - Dermatology 3274426051 Reassigns benefits to 2 organizations
I20250701000972 WA Practitioner - Dermatology 3274426051 Reassigns benefits to 1 organization

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
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

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 Hospital, Wenatchee, WA, CCN 500016
  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions80
Removal or shaving of skin growth1-10
Skin biopsy57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G183935CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 1, 2025 Accepting new patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Mar 21, 2022 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Mar 21, 2022 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Jul 1, 2025 Accepting new patients
Texas Dermatology and Laser Specialists PLLC Dermatology CurrentSince Jan 2, 2025 Accepting new patients
Csi Medical Group Dermatology CurrentSince Apr 15, 2023 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 PastSince Dec 1, 1999 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.