Carolina Lopez Roura

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1400 N Norma St
Ridgecrest, CA 93555-2575

Phone

(760) 499-7406

NPI assigned

Sep 27, 2019

Last updated

Dec 18, 2019By 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 2

Addresses

Other identifiers 1

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.

• College Community Services

  dba Clarvida

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1457902637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST STE 133",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552577",
            "telephone_number": "760-977-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N NORMA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552575",
            "telephone_number": "760-499-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURA",
        "first_name": "CAROLINA",
        "middle_name": "LOPEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "92645495D43358",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald L Ogren, O.D. Incorporated
• Rosal Rehab Services - a Physical Therapy Corporation
• Jonart Rabonza Rosal, PT, DPT
• Breanna Rosoff
• Michael Arthur Rossi, SUDRC
• Leslie Ann Rowland, NP
• Todd Rowland, MSN, RN, FNP-C, CEN
• Gwendolyn Rudulph, RN
• Rodney Ruggieri
• Camille Ivette Ruiz

• Case Manager/Care Coordinator in Ridgecrest, CA
• Providers in Ridgecrest, 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 Dec 18, 2019; 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.