Individual provider Active NPI

Catherine Tagulao Clark

  • In Home Supportive Care Agency
  • Bakersfield, CA
National Provider Identifier
1548826860
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
157208832 Issued in CA
Practice address
9320 Cobble Mountain Rd
Bakersfield, CA 93313-5373
Phone
(661) 397-0885
Fax
(661) 855-4409
NPI assigned
May 13, 2019
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 157208832 CA
In Home Supportive Care Agency 253Z00000X 157208832 CA Primary

Addresses

Primary practice location

9320 Cobble Mountain Rd
Bakersfield, CA 93313-5373

Mailing address

9320 Cobble Mountain Rd
Bakersfield, CA 93313-5373
Phone (661) 397-0885

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
157208832CAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Non-Medical Transport LLC Current Accepting new patients
Cobble Stone Residential Home Care LLC. Assisted Living Facility CurrentSince Sep 13, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1548826860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 COBBLE MOUNTAIN RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135373",
            "telephone_number": "661-397-0885",
            "fax_number": "661-855-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 COBBLE MOUNTAIN RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135373",
            "telephone_number": "661-397-0885",
            "fax_number": "661-855-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CATHERINE",
        "middle_name": "TAGULAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "157208832",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "157208832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 May 15, 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.