PREPARING PEOPLE FOR SUCCESS (NPI# 1043609969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043609969 |
| Entity Type | Organization |
| Organization Name | PREPARING PEOPLE FOR SUCCESS |
| Practice Address |
1513 Sports Dr Sacramento CA 95834-1943 |
| Practice Telephone | 9165758851 |
| Mailing Telephone | 9165758851 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Authorized Official Name | SHAWN VAUGHAN-WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9165758851 |
| Authorized Official Credential | CADC-II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 121528933 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALCOHOL AND DRUG | 1215287933 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215287933 | Preparing People for Success | Health Maintenance Organization | 1513 Sports Dr, Sacramento, CA 95834-1943 | 2012-09-11 |
| Street Address |
1513 SPORTS DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215287933 | Preparing People for Success | Health Maintenance Organization | 1513 Sports Dr, Sacramento, CA 95834-1943 | 2012-09-11 |
| 1841686011 | La Verne Jasmine Harris | Counselor | 1513 Sports Dr, Sacramento, CA 95834-1943 | 2015-04-14 |
| 1730578931 | Rebecca Gadreault | Case Manager/Care Coordinator | 1513 Sports Dr, Sacramento, CA 95834-1943 | 2015-01-12 |
| 1265838064 | Laura Zell Jacobs | Counselor | 1513 Sports Dr, 100, Sacramento, CA 95834-1943 | 2014-11-06 |
| 1982008272 | Preparingpeopleforsuccess | Community/Behavioral Health | 1513 Sports Dr, Suite 100, Sacramento, CA 95834-1943 | 2014-10-15 |
| 1306250881 | Clarence Muhammad | Counselor | 1513 Sports Dr, Suite 100, Sacramento, CA 95834-1943 | 2014-06-12 |
| 1912336454 | Terold Wilkerson | Counselor | 1513 Sports Dr, 100, Sacramento, CA 95834-1943 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1821287988 | Curtis Dental | Preferred Provider Organization | 1355 Florin Rd Ste 18, Sacramento, CA 95822-4244 | 2007-10-15 |
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| 1558614255 | Alizadeh & Saleh, Dds, Inc | Preferred Provider Organization | 4350 Marconi Ave Ste 100, Sacramento, CA 95821-4379 | 2012-10-18 |
| 1558668244 | Timothy E Mickiewicz Dental Corporation | Preferred Provider Organization | 3401 Folsom Blvd, Suite A, Sacramento, CA 95816-5354 | 2011-02-16 |
| 1770774184 | Geryoung Yang, D.d.s.; Inc | Preferred Provider Organization | 1355 Florin Rd Ste 8, Sacramento, CA 95822-4200 | 2007-08-09 |
| 1932310919 | Emq Children and Family Services | Preferred Provider Organization | 8801 Folsom Blvd, Sacramento, CA 95826-3257 | 2007-05-24 |
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| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
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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.