Burnett Rucker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A34349 Issued in CA

Practice address

2615 Eye St
Bakersfield, CA 93301-2006

Phone

(661) 395-3000

Fax

(661) 323-4703

NPI assigned

Aug 8, 2006

Last updated

Dec 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Side Health Care DistrictGroup PAC ID 2769625540, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: burnett.rucker.1@14270.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• West Side Health Care District

  dba West Side Family Health

  • Rural Health Clinic/Center
  • Taft, CA
  • NPI 1992142277
  Medicare reassignment Care Compare group NPD
• Rucker Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1174801054
  NPD (past) Authorized official
• Bakersfield Family Medical Group Inc

  dba Bakersfield Family Medical Group

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1013912641

  Family Medicine

  NPD (past)
• Bakersfield Memorial Hospital

  dba Bakersfield Memorial Hospital Pharmacy

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• M a Hamed M D Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1730323809
  NPD (past)
• Westside Wellness Center

  • Chiropractor
  • Los Angeles, CA
  • NPI 1063659753
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1376553008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82396",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933802396",
            "telephone_number": "661-323-5918",
            "fax_number": "661-323-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 EYE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012006",
            "telephone_number": "661-395-3000",
            "fax_number": "661-323-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "BURNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A343490",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN - WSUC",
            "identifier": "CM536Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Rubio
• Natalie Rubio
• Vanessa Rubio
• Maria L Rubolino-Gallego, FNP
• Ruby Dacio DDS & Lutgarda Perez DDS Dental Corp (Riverwalk Dental Professionals)
• Chandrakala Rudraraju, MD
• Staci Vanchai Rueh, RN
• Petra Ruelas Juarez
• Jesus Ruelas
• Yisel Naomi Ruelas

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.