Taylor Marie Bourelle

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56946 Issued in CA

Practice address

2901 Sillect Ave Ste 100
Bakersfield, CA 93308-6372

Phone

(661) 323-8384

NPI assigned

Jun 27, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centric Health

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1831248236
  Medicare reassignment NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1184285371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086371",
            "telephone_number": "660-323-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SILLECT AVE STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086372",
            "telephone_number": "661-323-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURELLE",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevork A. Bouldoukian, M.D.
• Robin Cam Bounville
• Kyriaki Bouraki
• Caitlin Cheyenne Bourbon
• Janine Bourelle, NPF
• Yvonne Bovard, NP
• Bowcor Inc
• Bowcor Inc
• Bowcor Inc
• Bowcor Inc

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.