Look up the most recent NPI and PECOS records

Axel Bulutoglu

Social Worker

Behavioral Health & Social Service Providers

400 Estudillo Ave, San Leandro, CA 94577-4999

PECOS Enrollment

Based on the most recent information from CMS, provider Axel Bulutoglu does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1750832440
Provider Type
Individual
Full Name
Bulutoglu, Axel
Gender
Male

Sole Proprietor
No
Enumeration Date
10/18/2016
Last Updated
8/25/2025

Contact Information

Practice Location

400 Estudillo Ave, San Leandro, CA 94577-4999

(510) 352-9200

Unlisted Fax

Mailing Location

400 Estudillo Ave, San Leandro, CA 94577-4999

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW130162 California
Code 225400000X	Description Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Axel Bulutoglu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Brooks, Katlin

Grimm, Norma P.

Duch, Sophay

Graves, Hye Yun

Rosen, Andrew

Dacoste, Marcy John

Green, Brian Eugene

O'Leary, Matthew Jason

Irvine, Paige

Katuala, Colette