SOBER COACHES OF CALIFORNIA LLC (NPI# 1083163067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083163067 |
| Entity Type | Organization |
| Organization Name | SOBER COACHES OF CALIFORNIA LLC |
| Practice Address |
5980 Dandridge Ln Unit 208 San Diego CA 92115-6580 |
| Practice Telephone | 8007144796 |
| Practice Fax Number | 8007144796 |
| Mailing Telephone | 8007144796 |
| Mailing Fax Number | 8007144796 |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2016-10-01 |
| Authorized Official Name | STEPHEN RYAN FAILLE (COUNSELOR) |
| Authorized Official Telephone | 8007144796 |
| Authorized Official Credential | BSW, CATC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 1239753 | CA | Agencies |
| Street Address |
5980 DANDRIDGE LN UNIT 208 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148692 | North County Therapy for Young Men | Case Management | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-24 |
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| 1689121972 | Ebony P Brown | Case Management | 3725 Old Cobble Rd, San Diego, CA 92111-4051 | 2016-09-05 |
| 1598122871 | Primary Care Health Network LLC | Case Management | 7535 Metropolitan Dr, San Diego, CA 92108-4402 | 2016-01-18 |
| 1033545066 | Christie's Place, Inc. | Case Management | 2440 3rd Ave, San Diego, CA 92101-1516 | 2013-09-23 |
| 1235400490 | Family Youth Roundtable of San Diego County | Case Management | 345 15th St, Suite A, San Diego, CA 92101-8951 | 2012-01-19 |
| 1831467752 | Marylin Joy Williams | Case Management | 4851 Casals Pl, San Diego, CA 92124-1502 | 2011-12-06 |
| 1144509878 | International Care LLC | Case Management | 200 Harbor Dr, #501, San Diego, CA 92101-7049 | 2011-08-11 |
| 1679875710 | Heavenly Angels Home Care | Case Management | 4709 Mount Abernathy Ave, San Diego, CA 92117-3340 | 2010-11-22 |
| 1629379581 | San Diego Youth Services | Case Management | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2010-11-09 |
| Find all providers in SAN DIEGO | ||||
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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.