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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LYDIA TESFAYE BULLO
NPI 1144151804
Specialist in Sacramento, CA

Active since May 28, 2026
4610 X ST, SACRAMENTO, CA 95817(916) 661-9980 Get Directions Write a Review

NPPES record added: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Tesfaye Bullo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA TESFAYE BULLO (NPI 1144151804) is an individual specialist in Sacramento, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1144151804
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLYDIA TESFAYE BULLO
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200
Phone(916) 661-9980
Sole ProprietorNo
Enumeration DateMay 28, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1144151804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4610 X ST, Sacramento, CA 95817
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE OLIVARES VALENCIA
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (747) 253-6052
HECTOR LEONARDO SANCHEZ PEREZ MPH
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (760) 899-0277
TIFFANY POLAR
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (562) 230-9720
ALICIA CUEVAS
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (831) 262-7838
ALFREDO LOPEZ AGUIRRE
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (209) 481-1068
MR. MATTHEW JOSEPH LOPEZ MED STUDENT
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 762-7911
BINUI JARVIO
Specialist
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (650) 867-8073
MR. QUINCY CARL JONES
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Sacramento County (916) 816-2527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Bullo's NPI number?

The NPI number for Lydia Bullo is 1144151804. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Lydia Bullo located?

Lydia Bullo practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 661-9980.

What is Lydia Bullo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lydia Bullo was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.