Active NPI
Rita Bolous McCowan, NP
- Pediatric Nurse Practitioner
- Oakland, CA
National Provider Identifier
1821621269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95009963
- Practice address
- 747 52ND St
Oakland, CA 94609-1809 - Phone
- (510) 428-3000
- NPI assigned
- Feb 13, 2020
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95009963 | CA | Primary |
Addresses
Primary practice location
747 52ND St
Oakland, CA 94609-1809
Mailing address
7532 Altura PL
Oakland, CA 94605-3108
Phone (650) 773-5396
Other names 1
- Ms. Rita Bolous
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rita.bolous@ucsf.edu | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009963 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Past | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Interoperability endpoints
- rbolous87408@direct-ucsfmedicalcenter.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1821621269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7532 ALTURA PL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946053108",
"telephone_number": "650-773-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOWAN",
"first_name": "RITA",
"middle_name": "BOLOUS",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95009963",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rita.bolous@ucsf.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "747 52nd St",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946091809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RITA",
"last_name": "BOLOUS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.