Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURA ELLEN BULATAO FNP
NPI 1437915378
Nurse Practitioner - Family in Redondo Beach, CA

Q: What is Laura Bulatao's NPI number?

The NPI number for Laura Bulatao is 1437915378. It was assigned to this individual provider in the NPPES registry on February 27, 2024. The provider is also known as Laura Ellen Burns.

Q: What is Laura Bulatao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Bulatao was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since February 27, 2024PECOS Enrolled

1959 KINGSDALE AVE, REDONDO BEACH, CA 90278(310) 214-1000 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Laura Ellen Bulatao Fnp NPPES

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

LAURA ELLEN BULATAO FNP (NPI 1437915378) is an individual family provider in Redondo Beach, California, licensed in California (95029055) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437915378

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURA ELLEN BULATAOCredential: FNP

Location Address1959 KINGSDALE AVERedondo Beach, CA 90278-3417

Mailing Address1959 Kingsdale AveRedondo Beach, CA 90278-3417 · (310) 214-1000

Phone(310) 214-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 27, 2024

Last NPPES UpdateSeptember 14, 2026

NPPES CertifiedSeptember 14, 2026

✔ NPI 1437915378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95029055

1959 KINGSDALE AVE, Redondo Beach, CA 90278

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Other Names 1

Former Name (1)Laura Ellen Burns

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Ellen Bulatao Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901370634

PECOS Enrollment IDI20260703000784

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90278 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

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 9

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

SOMA MEDICAL GROUP

Internal Medicine