Individual provider Active NPI

Rachel M. Fulginiti, B.A.

  • Case Manager/Care Coordinator
  • Pasadena, CA
National Provider Identifier
1366629446
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622
Phone
(626) 577-2261
Fax
(626) 577-2543
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622

Mailing address

1439 Laveta Ter
Los Angeles, CA 90026-3323
Phone (323) 791-0841

Other identifiers 1

IdentifierTypeStateIssuer
ICAN791OtherCADMH STAFF CODE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1366629446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 LAVETA TER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263323",
            "telephone_number": "323-791-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076622",
            "telephone_number": "626-577-2261",
            "fax_number": "626-577-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULGINITI",
        "first_name": "RACHEL",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH STAFF CODE",
            "identifier": "ICAN791",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.