Vilma Ruvalcaba

Individual provider Active NPI Case Manager/Care Coordinator · Mojave, CA

NPI 1194247767 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1194247767
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
16940 Hwy 14
C-J
Mojave, CA 93501
Phone
(661) 824-5020
Fax
(661) 824-5026
NPI assigned
Jul 14, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Clarvida Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

16940 Hwy 14
C-J
Mojave, CA 93501

Mailing address

16940 Highway 14 # C-J
Mojave, CA 93501-1238
Phone (661) 824-5020

Other names

  • Wilma Ruvalcaba Former name

Other providers in Mojave, CA

All providers in Mojave, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.