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Deactivated NPI 1063710614 Deactivated / Inactive NPI Male Practitioner

Ronald Bournes

Case Manager/Care Coordinator • Arcadia, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ronald Bournes has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2011
NPI Deactivation Date April 24, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Ronald Bournes was a registered Case Manager/Care Coordinator practicing in Arcadia, CA. Throughout an active medical career spanning 14 years, Ronald Bournes provided care at the practice location at 12310 LOWER AZUSA RD until profile deactivation on 2025-04-24.

Practice Location & Contact Primary Location

Practice Address

12310 Lower Azusa Rd

Arcadia, CA 910065872

Telephone 6265798506
Fax 6264331029
Associated Practice Facility / Clinic
🏢 Los County Probation Facility NPI 1912206681

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Arcadia, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
49 Specialists

Practicing in Arcadia, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
NPI 1023304441

PROBATIONOFFICER2

Judith Nieto

Case Manager/Care Coordinator

NPI 1093013823
Jesse Roberson

Case Manager/Care Coordinator

NPI 1174813869
Michael Reich

Case Manager/Care Coordinator

NPI 1265723902
Michael Rayfield , DPOII

Case Manager/Care Coordinator

NPI 1265731962
La Tesia Wilson

Case Manager/Care Coordinator

NPI 1306148812

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 24, 2025

Record deactivated on April 24, 2025

NPI Profile Active June 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 14, 2011

Registered at 12310 LOWER AZUSA RD, ARCADIA, CA 910065872 (Tel: 6265798506)

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Updated Business Mailing Address June 14, 2011

Registered at 12310 LOWER AZUSA RD, ARCADIA, CA 910065872 (Tel: 6265798506)

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Provider Name / Credentials Updated June 14, 2011

Recorded as RONALD BOURNES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2011

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration March 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063710614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2011
Last Update: June 14, 2011
Deactivation Date: April 24, 2025

Mailing Address

12310 Lower Azusa Rd

Arcadia, CA 910065872

Phone: 6265798506

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.