Individual provider Active NPI

Carmel Rusu

  • Attendant Care Provider
  • Castro Valley, CA
National Provider Identifier
1982284519
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
6030659740 Issued in CA
Practice address
17635 Almond Rd
Castro Valley, CA 94546-1205
Phone
(510) 886-0341
Fax
(410) 200-9191
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 6030659740 CA Primary

Addresses

Primary practice location

17635 Almond Rd
Castro Valley, CA 94546-1205

Mailing address

17635 Almond Rd
Castro Valley, CA 94546-1205
Phone (510) 886-0341

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
6030659740CAMDAttendant Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Almond Road. Senior Estates PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1982284519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17635 ALMOND RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461205",
            "telephone_number": "510-886-0341",
            "fax_number": "510-200-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17635 ALMOND RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945461205",
            "telephone_number": "510-886-0341",
            "fax_number": "410-200-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSU",
        "first_name": "CARMEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": "6030659740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.