MARK MASSARO (NPI# 1013204429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204429 |
| Entity Type | Individual |
| Full Name | MARK MASSARO |
| Practice Address |
1248 E Swanee Ln West Covina CA 91790-1848 |
| Mailing Address |
23701 E East Fork Rd Azusa CA 91702-1477 |
| Practice Telephone | 6265367238 |
| Mailing Telephone | 6262503300 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215986617 | Mark Edward Massaro | Dentist | 3150 E 41st Street, Ste 141, Tulsa, OK 74105-3756 | 2006-05-10 |
| Street Address |
1248 E SWANEE LN |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1629604350 | Jasan Perez | Case Manager/Care Coordinator | 1901 W Pacific Ave, West Covina, CA 91790-2090 | 2020-03-13 |
| 1821646217 | Nereida Sanchez | Case Manager/Care Coordinator | 1901 W Pacific Ln, West Covina, CA 91790-2035 | 2019-08-28 |
| 1669020053 | Tania Ivette Ramirez | Case Manager/Care Coordinator | 1901 W Pacific Ave Ste 240, West Covina, CA 91790-2090 | 2019-08-28 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| 1043688237 | Lavon R Robinson | Case Manager/Care Coordinator | 1613 E Verness St, West Covina, CA 91791-1332 | 2015-09-04 |
| 1568866465 | Michael Silva | Case Manager/Care Coordinator | 1919 W Kenoak Dr, West Covina, CA 91790-1145 | 2014-10-21 |
| 1164733069 | Maria Hopper | Case Manager/Care Coordinator | 1804 E Vine Ave, West Covina, CA 91791-3213 | 2010-06-24 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1851911465 | Maria Serratos | Case Manager/Care Coordinator | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2020-04-23 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.