Axel Bulutoglu

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW130162 Issued in CA

Practice address

400 Estudillo Ave
San Leandro, CA 94577-4999

Phone

(510) 352-9200

NPI assigned

Oct 18, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Aylin Bulutoglu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1184748915
  NPD
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  • Community/Behavioral Health Agency
  • San Leandro, CA
  • NPI 1205992096

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1750832440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774999",
            "telephone_number": "510-352-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2641 Inyo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946011323",
            "country_code": "US",
            "telephone_number": "650-646-8544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Estudillo Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774611",
            "country_code": "US",
            "telephone_number": "510-746-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULUTOGLU",
        "first_name": "AXEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW130162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYLIN",
            "last_name": "BULUTOGLU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hoai Bui, MD
• Khanh Bui
• Stanley Bui, PHARMD
• Theresa Navarro Bui, M.A., LMFT
• Becky Ariann Bulger
• Amy M Bunn, M.A.
• Thomas Robert Bunney
• Jerisha Buntyn
• Lyndsey Ann Burall
• Aaron Allan Burchfield, MD

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.