Judy Danielle Bacus

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1624 Santa Clara Dr Ste 145
Roseville, CA 95661-3500

Phone

(916) 779-2455

NPI assigned

Dec 4, 2013

Last updated

Mar 17, 2018By the provider in NPPES

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

Other names 1

• Judy Danielle Bacus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Roseville, CA
  • NPI 1497158604

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275964041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 SANTA CLARA DR STE 145",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613500",
            "telephone_number": "916-779-2455",
            "fax_number": "916-588-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 SANTA CLARA DR STE 145",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613500",
            "telephone_number": "916-779-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Providence Mine Rd",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592947",
            "country_code": "US",
            "telephone_number": "530-265-7844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACUS",
        "first_name": "JUDY",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "BACUS",
            "middle_name": "DANIELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sofiya Babenko
• Igor Babenkov
• Tracy Bacchus
• Patricia Latham Bach, PSYD, RN
• Isabella Bacogiannis
• Irina Badalyan, MD
• Mohammad Saleh Baddawi
• Raman Kaur Badesha
• Sanvir Singh Badyal, DDS
• Alyssa Marie Baena

• Case Manager/Care Coordinator in Roseville, CA
• Providers in Roseville, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.