Active NPI
Szofia S. Bullain, M.D.
- Neurology Physician
- Orange, CA
National Provider Identifier
1730418146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A112882
- Practice address
- 101 The City Dr S BLDG 53
Uci Medical Center - Department of Neurology
Orange, CA 92868-3201 - Phone
- (714) 456-7707
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A112882 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S BLDG 53
Uci Medical Center - Department of Neurology
Orange, CA 92868-3201
Mailing address
University of California Irvine
1515 Hewitt Hall
Irvine, CA 92697-1400
Phone (949) 824-9125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112882 | CA | MD | Clinical Social Worker |
| A112882 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1730418146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF CALIFORNIA IRVINE",
"address_2": "1515 HEWITT HALL",
"city": "IRVINE",
"state": "CA",
"postal_code": "926971400",
"telephone_number": "949-824-9125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S BLDG 53",
"address_2": "UCI MEDICAL CENTER - DEPARTMENT OF NEUROLOGY",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLAIN",
"first_name": "SZOFIA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A112882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.