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Deactivated NPI 1245476480 Deactivated / Inactive NPI Male Practitioner

Rudolph Bozeman

Case Manager/Care Coordinator • Downey, 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, Rudolph Bozeman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 17, 2008
NPI Deactivation Date September 21, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Rudolph Bozeman was a registered Case Manager/Care Coordinator practicing in Downey, CA. Throughout an active medical career spanning 14 years, Rudolph Bozeman provided care at the practice location at 9150 IMPERIAL HWY until profile deactivation on 2022-09-21.

Practice Location & Contact Primary Location

Practice Address

9150 Imperial Hwy
Room P-31

Downey, CA 902422835

Telephone 5629403694
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

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

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

Practicing in Downey, 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

40 Associated Practitioners
Joi Nichols

Case Manager/Care Coordinator

NPI 1003050329
Barbara Parker , DPOII

Case Manager/Care Coordinator

NPI 1023243904
Lori Dale

Case Manager/Care Coordinator

NPI 1043464258
Perry Amos

Case Manager/Care Coordinator

NPI 1053555672
Phyllis Whitfield-Scurlock

Case Manager/Care Coordinator

NPI 1093018442
Gregory Monteilh

Case Manager/Care Coordinator

NPI 1093958134

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 September 21, 2022

Record deactivated on September 21, 2022

NPI Profile Active December 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2008

Registered at 9150 IMPERIAL HWY, ROOM P-31, DOWNEY, CA 902422835 (Tel: 5629403694)

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Updated Business Mailing Address December 17, 2008

Registered at 14414 DELANO ST, VAN NUYS, CA 914012703

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Provider Name / Credentials Updated December 17, 2008

Recorded as RUDOLPH BOZEMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2008

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration December 17, 2008

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: 1245476480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2008
Last Update: December 17, 2008
Deactivation Date: September 21, 2022

Mailing Address

14414 Delano St

Van Nuys, CA 914012703

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.