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GINA MARIE BULLOCK
NPI 1376315754
Social Worker - Clinical in Oakland, CA

Active since October 27, 2023PECOS Enrolled
2577 SAN PABLO AVE, OAKLAND, CA 94612(925) 507-0598 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Oct 27, 2023 (2 updates tracked since 2023).

About Gina Marie Bullock NPPES

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

GINA MARIE BULLOCK (NPI 1376315754) is an individual clinical provider in Oakland, California, licensed in California (136326) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376315754
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGINA MARIE BULLOCK
Location Address2577 SAN PABLO AVEOakland, CA 94612-1159
Mailing Address2577 San Pablo AveOakland, CA 94612-1159 · (925) 507-0598
Phone(925) 507-0598
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2023
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1376315754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 136326
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2577 SAN PABLO AVE, Oakland, CA 94612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gina Marie Bullock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183180268
PECOS Enrollment IDI20260729001488
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gina Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifelong Medical Care
2.2 mi
Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689670002 (510) 428-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

ALEXANDER PATRICK HUMPHREY
Case Manager/Care Coordinator
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7180
MALCOLM ANDREW EWING CAADAC (INTERN)
Counselor (Addiction (Substance Use Disorder))
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7100
MRS. KAREN DENICE JOHNSON
Lodging
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7186
LIFELONG MEDICAL CARE
Community/Behavioral Health
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7180
ANNIE CHEN LMFT
Marriage & Family Therapist
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7180
EAST BAY COMMUNITY RECOVERY PROJECT
Substance Abuse Rehabilitation Facility
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7100
REBECCA HINES LMFT
Marriage & Family Therapist
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 513-3706
MS. VALERIE ANN BOLDEN
Student in an Organized Health Care Education/Training Program
2577 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7180

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 Gina Bullock's NPI number?

The NPI number for Gina Bullock is 1376315754. It was assigned to this individual provider in the NPPES registry on October 27, 2023.

Where is Gina Bullock located?

Gina Bullock practices at 2577 San Pablo Ave, Oakland, CA 94612. The listed phone number is (925) 507-0598.

What is Gina Bullock's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gina Bullock enrolled in Medicare?

Yes. Gina Bullock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gina Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Bullock reassigns Medicare benefits to Lifelong Medical Care (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gina Bullock was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.