SOFIA R. BULAHAN FNP
NPI 1760610497
Nurse Practitioner - Family in Copperopolis, CA

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
COPPEROPOLIS FAMILY MEDICAL CLINIC, 3505 SPANGLER LANE, SUITE 400, COPPEROPOLIS, CA 95228(209) 785-7000 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2022, Aug 8, 2019 (2 updates tracked since 2019).

About Sofia R. Bulahan Fnp NPPES

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

SOFIA R. BULAHAN FNP (NPI 1760610497) is an individual family provider in Copperopolis, California, licensed in California (17924-N) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1760610497
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOFIA R. BULAHANCredential: FNP
Location AddressCOPPEROPOLIS FAMILY MEDICAL CLINIC, 3505 SPANGLER LANE, SUITE 400Copperopolis, CA 95228
Mailing AddressMark Twain Medical Center, 768 Mountain Ranch RoadSan Andreas, CA 95249 · (209) 754-3521
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 1, 2009
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
NPI 1760610497 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 · 17924-N
COPPEROPOLIS FAMILY MEDICAL CLINIC, Copperopolis, CA 95228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sofia R. Bulahan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214211994
PECOS Enrollment IDI20170223002124
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 95228 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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 Sofia Bulahan's NPI number?

The NPI number for Sofia Bulahan is 1760610497. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Sofia Bulahan located?

Sofia Bulahan practices at Copperopolis Family Medical Clinic 3505 Spangler Lane, Suite 400, Copperopolis, CA 95228. The listed phone number is (209) 785-7000.

What is Sofia Bulahan's specialty?

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

Is Sofia Bulahan enrolled in Medicare?

Yes. Sofia Bulahan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sofia Bulahan was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.