MR. ERIC BRUCE RUCKER (NPI# 1891196283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891196283 |
| Entity Type | Individual |
| Full Name | MR. ERIC BRUCE RUCKER |
| Credential | RRW |
| Practice Address |
1245 E Walnut St Ste 117 Pasadena CA 91106-5129 |
| Practice Telephone | 6267959127 |
| Practice Fax Number | 6267950979 |
| Mailing Telephone | 6267959127 |
| Mailing Fax Number | 6267950979 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | RW3425 | CA | Other Service Providers |
| Street Address |
1245 E WALNUT ST STE 117 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108654 | Michael Anthony Salazar | Counselor | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2019-05-02 |
| 1073094082 | Ebelin Moraza | Case Manager/Care Coordinator | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2018-08-27 |
| 1275051161 | Steven Rocky Flores | Case Manager/Care Coordinator | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-08-31 |
| 1063939312 | Joseph Michael Tatone | Counselor | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-08-28 |
| 1982120184 | Scott Lawrence Vejar | Counselor | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-08-18 |
| 1992220248 | Tina Marie Elizabeth Ness | Counselor | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-08-08 |
| 1922522820 | Roxanne Cordova | Social Worker | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-08-01 |
| 1891219374 | Sarah K Brown | Case Manager/Care Coordinator | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2017-07-27 |
| 1235685454 | Robert Sanches | Counselor | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1952842502 | Desiree Alvarado | Case Manager/Care Coordinator | 135 N Bonnie Ave, Pasadena, CA 91106-2103 | 2017-03-15 |
| 1073051835 | Joram Michael Matute | Case Manager/Care Coordinator | 500 S Los Robles Ave, Apt 305, Pasadena, CA 91101-3266 | 2017-02-01 |
| 1942667951 | Daisy Garcia | Case Manager/Care Coordinator | 2550 E Foothill Blvd Fl 1, Pasadena, CA 91107-3406 | 2016-01-21 |
| 1356716880 | Maria Gonzalez | Case Manager/Care Coordinator | 2500 E Foothill Blvd Ste 403, Pasadena, CA 91107-7119 | 2015-12-09 |
| 1316331945 | Theresa Ibarra | Case Manager/Care Coordinator | 2555 E Colorado Blvd Ste 308, Pasadena, CA 91107-6649 | 2015-03-20 |
| 1265859474 | Tanesha Austin | Case Manager/Care Coordinator | 5010 Laura Lee Ln, Pasadena, TX 77504-2380 | 2014-03-25 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.