Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Charlene Bull

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477293850

Stephanie Charlene Bull is a Physician Assistant in Ukiah, California. Qualified in 2024, 2 years ago. Practices with Mendocino Community Health Clinic Inc, a 58-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

333 Laws Ave
Ukiah, CA 95482-6540
Phone: (707) 468-1010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65003 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477293850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2022
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mendocino Community Health Clinic Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ukiah