Carlos Bulaon, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48343 Issued in CA

Practice address

3500 Whittier Blvd Ste 105
Los Angeles, CA 90023-1746

Phone

(323) 262-8100

Fax

(323) 262-2146

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 5)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ardmore Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1124189212
  Medicare reassignment NPD
• Ardmore Medical Group

  • General Practice Physician
  • El Monte, CA
  • NPI 1578624672
  NPD
• Andmore Medical Group

  • Obstetrics & Gynecology Physician
  • Maywood, CA
  • NPI 1275623472
  NPD (past)
• The Vidal Womans Medical Clinic Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1326133687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285796375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703133",
            "telephone_number": "323-562-6170",
            "fax_number": "323-562-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WHITTIER BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231746",
            "telephone_number": "323-262-8100",
            "fax_number": "323-262-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAON",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Claire Bukaty
• Jafar Ahmad M Bukhamsin
• H Bukiri
• Maricris Tamayo Bulaclac, PT
• Josah Bulanadi, MD
• Brionna Sandridge Bulgarelli, MD
• Sebina Bulic, MD
• Leslie Elizabeth Bull, MD, MA
• Diedre Bullah
• Alexei Marie Bullara

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.