Marina Bulatov, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

A67737 Issued in CA

Practice address

1940 Webster St Ste 200
Oakland, CA 94612-2944

Phone

(510) 463-4700

Fax

(510) 463-4722

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

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.

• Bay Area Comprehensive Spine and Sports Medical Group Inc

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Oakland, CA
  • NPI 1205928645
  Medicare reassignment NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1932215944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 WEBSTER ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122944",
            "telephone_number": "510-463-4700",
            "fax_number": "510-463-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 WEBSTER ST STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122944",
            "telephone_number": "510-463-4700",
            "fax_number": "510-463-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULATOV",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A67737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Building Opportunities for Self-Sufficiency
• Building Oppurtunity for Self-Sufficiency
• Rosemarie Natividad Buison
• Camilo Buitrago
• Sara Jan Buitrago, MS, BCBA
• Laura Gallant Bulchis
• Shelley Anne Bull, CPNP-PC
• Madelyn Elisabeth Bullard, AMFT
• Miriam K Bullard, M.D.
• Ronald Eugene Bullard, DDS

• Pain Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.