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

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: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 nurse practitioner 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 Taxonomy363L00000X
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
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1437915378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95029055
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1959 KINGSDALE AVE, Redondo Beach, CA 90278

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.

Internal Medicine
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner (Family)
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner (Primary Care)
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Internal Medicine
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner (Family)
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner (Family)
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278
Nurse Practitioner (Family)
1959 KINGSDALE AVE
REDONDO BEACH, CA 90278

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 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.

Where is Laura Bulatao located?

Laura Bulatao practices at 1959 Kingsdale Ave, Redondo Beach, CA 90278. The listed phone number is (310) 214-1000.

What is Laura Bulatao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laura Bulatao enrolled in Medicare?

Yes. Laura Bulatao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laura Bulatao was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.