Clonge Wayne Rafus

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408

Phone

(510) 735-0864

Fax

(510) 647-9408

NPI assigned

Mar 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bonita House, Inc.

  • Case Management Agency
  • Oakland, CA
  • NPI 1053526715
  NPD
• Bonita House, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1902253016
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1851717318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 SHATTUCK AVE APT 112",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041517",
            "telephone_number": "510-735-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 267",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052408",
            "telephone_number": "510-735-0864",
            "fax_number": "510-647-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFUS",
        "first_name": "CLONGE",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin M Rafferty, CCC-SLP
• Madeline C Rafferty
• Sharon Lee Rafferty, PHD
• Laurel Malea Raffetseder, FNP
• Colleen Raffety
• Aakash Raghubansh, PA-C
• Dominique Ragland, DC
• Joy Margaret Ragon, M.A.
• Lea Mira Raha
• Reza Rahbari, M.D.

• Peer Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.