Active NPI
Elaine Suzanne Bouffard
- Case Manager/Care Coordinator
- San Jose, CA
National Provider Identifier
1598833907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1210 S Bascom Ave Ste 224
San Jose, CA 95128-3535 - Phone
- (408) 280-2635
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1210 S Bascom Ave Ste 224
San Jose, CA 95128-3535
Mailing address
2145 San Antonio PL
Santa Clara, CA 95051-1605
Phone (408) 280-2635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41956 | Other | CA | UNICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598833907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 SAN ANTONIO PL",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950511605",
"telephone_number": "408-280-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S BASCOM AVE STE 224",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283535",
"telephone_number": "408-280-2635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUFFARD",
"first_name": "ELAINE",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "41956",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.