Rodolfo Santos Bolano

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1143 Light Sky Ave
Henderson, NV 89074-8709

Phone

(626) 374-5895

NPI assigned

Feb 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1386144343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 LIGHT SKY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748709",
            "telephone_number": "626-374-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 LIGHT SKY AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748709",
            "telephone_number": "626-374-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLANO",
        "first_name": "RODOLFO",
        "middle_name": "SANTOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilia Boffi, D.O., PH.D.
• Gary Bogk
• Karmella C Bognot
• Steven Bohn
• Kimberly Renee Boker, CPC INTERN
• Denise Elizabeth Bolanos, LMT
• Bold Empowered and Resilient Therapy, LLC.
• Nikki Bolden
• Lashonda Bolds
• Ela Kristel Olan Bolisay, MSN, APRN-C

• Personal Care Attendant in Henderson, NV
• Providers in Henderson, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.