Individual provider Active NPI

Poonam Rufus

  • Case Manager/Care Coordinator
  • Bakersfield, CA
National Provider Identifier
1508407537
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
1111111 Issued in CA
Practice address
10702 Eagle Vista Dr
Bakersfield, CA 93311-9018
Phone
(661) 378-8603
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 1111111 CA Primary

Addresses

Primary practice location

10702 Eagle Vista Dr
Bakersfield, CA 93311-9018

Mailing address

10702 Eagle Vista Dr
Bakersfield, CA 93311-9018
Phone (661) 378-8603

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL poonamrufus@kernprobation.org
CONNECT URL poonamrufus@kernprobation.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1111111CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1508407537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10702 EAGLE VISTA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119018",
            "telephone_number": "661-378-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10702 EAGLE VISTA DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119018",
            "telephone_number": "661-378-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFUS",
        "first_name": "POONAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "1111111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "poonamrufus@kernprobation.org",
            "affiliation": "N",
            "address_1": "10702 Eagle Vista Dr",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933119018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "poonamrufus@kernprobation.org",
            "affiliation": "N",
            "address_1": "10702 Eagle Vista Dr",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933119018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.