California Care Coordinating Consultant

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CALIFORNIA CARE COORDINATING CONSULTANT

Practice address

9416 Hercules St
Bakersfield, CA 93306-7838

Phone

(562) 253-6620

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rashon Bohannon

Title

Owner

Phone

(678) 396-8229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1598588139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PINE AVE # 311",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9416 HERCULES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933067838",
            "telephone_number": "562-253-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE COORDINATING CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "RASHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-396-8229"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.