Active NPI
Alexis Marina Bulcao, AUD
- Audiologist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 197 E Caroline St Ste 1100
San Bernardino, CA 92408-3731 - Phone
- (909) 558-2824
- Fax
- (909) 558-2387
- NPI assigned
- Jul 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | CA | Primary |
Addresses
Primary practice location
197 E Caroline St Ste 1100
San Bernardino, CA 92408-3731
Mailing address
93 Kansas St Apt 107
Redlands, CA 92373-1468
Phone (619) 857-2843
Other practice location 1
11370 Anderson St Ste 2100
Loma Linda, CA 92354-3450
Phone (909) 558-2600
Other names 1
- Alexis Marina Ronney
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ARonney@llu.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200924001456 | CA | Practitioner - Qualified Audiologist | 9335568344 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
197 E Caroline St
Ste 1100
San Bernardino, CA 92408
Phone (909) 558-2824
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- aronney@llu.edu
Organizations & group practices 3
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.
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CA
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- Loma Linda, CA
- NPI 1265686109
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1407464233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 KANSAS ST APT 107",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923731468",
"telephone_number": "619-857-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 E CAROLINE ST STE 1100",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083731",
"telephone_number": "909-558-2824",
"fax_number": "909-558-2387"
}
],
"practiceLocations": [
{
"address_1": "11370 Anderson St Ste 2100",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923543450",
"country_code": "US",
"telephone_number": "909-558-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULCAO",
"first_name": "ALEXIS",
"middle_name": "MARINA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-17",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ARonney@llu.edu",
"affiliation": "N",
"endpointDescription": "LLU E-mail address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "197 E Caroline St Ste 1100",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924083731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "RONNEY",
"middle_name": "MARINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.