Individual provider Active NPI

Rachel Gerard-Buonomo, DNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1477164689
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95015098 Issued in CA
Practice address
4900 California Ave Ste 210B
Bakersfield, CA 93309-7080
Phone
(310) 963-0365
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95015098 CA Primary

Addresses

Primary practice location

4900 California Ave Ste 210B
Bakersfield, CA 93309-7080

Mailing address

1516 Front St
San Diego, CA 92101-2919
Phone (619) 823-5198

Other names 1

  • Rachel Gerard Other name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109003099 CA Practitioner - Nurse Practitioner 7315357035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

6245 De Longpre Ave
Los Angeles, CA 90028-8253
Phone (310) 425-2272

9808 Venice Blvd
PH
Culver City, CA 90232-6809
Phone (310) 963-0365

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rachel.gerard.1@25529.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1477164689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012919",
            "telephone_number": "619-823-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 210B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097080",
            "telephone_number": "310-963-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD-BUONOMO",
        "first_name": "RACHEL",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GERARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.