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Active NPI 1760610497 Individual Practitioner Female Practitioner

Sofia R. Bulahan , FNP

Nurse Practitioner - Family • Copperopolis, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sofia Bulahan, FNP is a certified Nurse Practitioner - Family practicing in Copperopolis, CA. With approximately 19 years of clinical experience since completing medical education in 2007, Sofia Bulahan delivers high-quality medical care to the local community at COPPEROPOLIS FAMILY MEDICAL CLINIC.

Sofia Bulahan is affiliated with Permanente Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

Copperopolis Family Medical Clinic
3505 Spangler Lane, Suite 400

Copperopolis, CA 95228

Telephone 2097857000
Associated Practice Facility / Clinic
🏢 Mark Twain Medical Center Facility NPI 1588725196

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Copperopolis, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs +8.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Copperopolis, CA (17128 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bulahan (19 Years) 19 Yrs
Copperopolis Specialty Average (10.7 Years) 10.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-09-19
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License CA 17924-N

Definition to come...

Hospital & Practice Group Affiliations

Permanente Medical Group Inc

2238 Geary Blvd, San Francisco, CA 941153416

Phone: 4158332200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Pennie Khong , NP

Nurse Practitioner - Family

NPI 1770192924

Nurse Practitioner

Polly Dodds

Nurse Practitioner - Family

NPI 1821622820

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 08, 2019

Registered at COPPEROPOLIS FAMILY MEDICAL CLINIC, 3505 SPANGLER LANE, SUITE 400, COPPEROPOLIS, CA 95228 (Tel: 2097857000)

📍
Updated Business Mailing Address August 08, 2019

Registered at MARK TWAIN MEDICAL CENTER, 768 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249 (Tel: 2097543521)

NPI Profile Active July 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2009

Registered at 2488 N CALIFORNIA ST, STOCKTON, CA 952045508 (Tel: 2099483333)

📍
Updated Business Mailing Address July 20, 2009

Registered at 10315 POINT REYES CIR, STOCKTON, CA 952094147 (Tel: 2095599453)

👤
Provider Name / Credentials Updated July 20, 2009

Recorded as SOFIA BULAHAN, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2009

Nurse Practitioner (License #17924-N in CA)

🟢
Initial NPI Registration & Enumeration July 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760610497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2009
Last Update: September 19, 2022
Sole Proprietor: No

Mailing Address

Mark Twain Medical Center, 768 Mountain Ranch Road

San Andreas, CA 95249

Phone: 2097543521

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.