JENNIFER FERNANDA VALLECILLO (NPI# 1003370586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003370586 |
| Entity Type | Individual |
| Full Name | JENNIFER FERNANDA VALLECILLO |
| Practice Address |
566 S Brand Blvd San Fernando CA 91340-4002 |
| Mailing Address |
12813 Borden Ave Sylmar CA 91342-4215 |
| Practice Telephone | 8188980223 |
| Mailing Telephone | 8183313816 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
566 S BRAND BLVD |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881724656 | Maria J Di Battista | Marriage & Family Therapist | 566 S Brand Blvd, San Fernando, CA 91340 | 2007-03-07 |
| 1104426071 | Daisy Melendez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-10-29 |
| 1770198368 | Laura Angelica Galvan | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-09-10 |
| 1194338293 | Alexis Saray Ayon Cabrera | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-28 |
| 1184237364 | Estefany Espinoza | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-08-26 |
| 1811513716 | Nooshin Vegh | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-06-17 |
| 1740818616 | Linda Lucero Martinez | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-03-27 |
| 1043850944 | Viviana Hernandez | Counselor | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-01-09 |
| 1013560028 | Carolina Ramos | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2019-07-18 |
| 1942866777 | Vivian Rose Garrison | Student in an Organized Health Care Education/Training Program | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2019-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| 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 |
|---|---|---|---|---|
| 1922302751 | Sonia Rodriguez | Case Manager/Care Coordinator | 1404 Kewen St, San Fernando, CA 91340-3932 | 2011-01-10 |
| 1013183854 | Merizhan Maratovich Seidakhmetov | Case Manager/Care Coordinator | 11220 Laurel Canyon Blvd. Unit #f105 1/2, San Fernando, CA 91344-4348 | 2008-05-01 |
| 1770198368 | Laura Angelica Galvan | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2020-09-10 |
| 1407403496 | Sonya Maral Sargis | Case Manager/Care Coordinator | 919 1st St, San Fernando, CA 91340-2957 | 2019-08-23 |
| 1922486828 | Sharon Somoza | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2015-05-11 |
| 1992094635 | Nancy Gonzalez | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2011-04-04 |
| 1245549807 | Jazmin Garcia | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2010-09-30 |
| 1548574890 | Emilia Arevalo | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2010-07-28 |
| 1912101346 | Karla Lebrun | Case Manager/Care Coordinator | 566 S Brand Blvd, San Fernando, CA 91340-4002 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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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.