MR. MICHAEL HENRY BULLOCK MSW
NPI 1407055122
Social Worker - Clinical in Huntington Beach, CA
About Mr. Michael Henry Bullock Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL HENRY BULLOCK MSW (NPI 1407055122) is an individual clinical provider in Huntington Beach, California, licensed in California (LCS5735) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1970).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Michael Henry Bullock Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Bullock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Huntington Beach, CA 92649
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
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 92649 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HUNTINGTON BEACH, CA 92649
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 Michael Bullock's NPI number?
The NPI number for Michael Bullock is 1407055122. It was assigned to this individual provider in the NPPES registry on July 12, 2007.
Where is Michael Bullock located?
Michael Bullock practices at 5762 Bolsa Ave #107, Huntington Beach, CA 92649. The listed phone number is (714) 898-0362.
What is Michael Bullock's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Michael Bullock enrolled in Medicare?
Yes. Michael Bullock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Bullock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bullock reassigns Medicare benefits to Associated Therapists, Inc. (Huntington Beach, 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 Michael 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 Michael Bullock was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Mr. Michael Henry Bullock, MSW · NPI 1407055122
Clinical provider in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since July 12, 2007.
## Identity
- **NPI:** 1407055122 (Entity type: Individual)
- **Enumerated:** July 12, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCS5735 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5762 BOLSA AVE, #107, Huntington Beach, CA 92649-1172
- **Phone:** (714) 898-0362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Therapists, Inc. (NPI 1801977319, Huntington Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1970
## Record status
- **NPPES last updated:** July 18, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1407055122) · Data from the CMS NPPES public registry.