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LAVALLE DEPRICE BULLARD
NPI 1205124039
Case Manager/Care Coordinator in Moreno Valley, CA

Active since July 13, 2011
13800 HEACOCK ST, SUITE C236, MORENO VALLEY, CA 92553(951) 653-0819 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lavalle Deprice Bullard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVALLE DEPRICE BULLARD (NPI 1205124039) is an individual case manager/care coordinator provider in Moreno Valley, California and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1205124039
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameLAVALLE DEPRICE BULLARD
Location Address13800 HEACOCK ST, SUITE C236Moreno Valley, CA 92553-3339
Mailing Address22058 Goldenchain StMoreno Valley, CA 92553-6955 · (909) 720-2699
Phone(951) 653-0819
Sole ProprietorYes
Enumeration DateJuly 13, 2011
Last NPPES UpdateMay 16, 2012
✔ NPI 1205124039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
13800 HEACOCK ST, Moreno Valley, CA 92553
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Other Names 1

Other Name (5)Omar Camara Muhammad

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGINA HAGGARD
Case Manager/Care Coordinator
13800 HEACOCK ST, C-236
MORENO VALLEY, CA 92553
Riverside County (951) 653-0819
MRS. TERYLYN DENISE SMITH L.P.T.
Rehabilitation Practitioner
13800 HEACOCK ST, STE. C236
MORENO VALLEY, CA 92553
Riverside County (951) 653-0819
DR. JESSICA WILLIAMS PSY.D.
Psychologist (Clinical)
13800 HEACOCK ST, SUITC C230D
MORENO VALLEY, CA 92553
Riverside County (951) 421-5967
GUADALUPE GASTELUM
Behavior Analyst
13800 HEACOCK ST, SUITE C236
MORENO VALLEY, CA 92553
Riverside County (951) 653-0819
CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI
Clinic/Center (Occupational Medicine)
13800 HEACOCK ST, SUITE C136
MORENO VALLEY, CA 92553
Riverside County (951) 656-6009
ALBERT ESTRADA
Case Manager/Care Coordinator
13800 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (323) 749-1189
MRS. MARILYN SUSAN RUNNER LINDEBURG
Case Manager/Care Coordinator
13800 HEACOCK ST
MORENO VALLEY, CA 92553
Riverside County (951) 743-4218
A.M.PALANCA-CAPISTRANO,M.D.INC.
Clinic/Center (Medical Specialty)
13800 HEACOCK ST, SUITE C-110
MORENO VALLEY, CA 92553
Riverside County (951) 653-3388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavalle Bullard's NPI number?

The NPI number for Lavalle Bullard is 1205124039. It was assigned to this individual provider in the NPPES registry on July 13, 2011. The provider is also known as Omar Camara Muhammad.

Where is Lavalle Bullard located?

Lavalle Bullard practices at 13800 Heacock St Suite C236, Moreno Valley, CA 92553. The listed phone number is (951) 653-0819.

What is Lavalle Bullard's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Lavalle Bullard was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.