Ma. Katrina Solamillo Bulagao, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

163WH0200X Issued in CA

Practice address

849 S 3Rd St
Montebello, CA 90640-5907

Phone

(626) 905-1894

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1497343578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S 3RD ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405907",
            "telephone_number": "626-905-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S 3RD ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405907",
            "telephone_number": "626-905-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULAGAO",
        "first_name": "MA. KATRINA",
        "middle_name": "SOLAMILLO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "163WH0200X",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "163WH0200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Christopher Bravo
• Yvonne Bray
• Brian a Beck MD a Medical Corp Etal PTR Leonard a Gale MD Medical Corp
• Melissa Ariana Brizuela, MD
• Trinh Bui, DDS
• Aimee A Burdick, P.T.
• Violkys Bustamante, PA-C
• C.N. Health, Inc. (Montebello Pharmacy and Medical Supplies)
• George Caballero, MSW, LCSW
• Elita Cabrera

• Home Health Registered Nurse in Montebello, CA
• Providers in Montebello, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.