MR. FERNANDO LODEVICO (NPI# 1144602848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144602848 |
| Entity Type | Individual |
| Full Name | MR. FERNANDO LODEVICO |
| Practice Address |
1230 N Marengo Ave Pasadena CA 91103-2217 |
| Mailing Address |
Po Box 40375 Pasadena CA 91114-7375 |
| Practice Telephone | 6267971124 |
| Practice Fax Number | 6263989674 |
| Mailing Telephone | 6267971124 |
| Mailing Fax Number | 6263989674 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | R26951214 | CA | Other Service Providers |
| Street Address |
1230 N MARENGO AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407990757 | Grandviewfoundation, Inc | Voluntary or Charitable | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2007-02-19 |
| 1093341836 | Ruben Tovmasyan | Technician/Technologist | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2020-03-12 |
| 1316571029 | Luci Ann Artukovich | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2020-03-03 |
| 1841856655 | Maurice Eugene Washington | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2019-05-16 |
| 1386102895 | Rene Reyes | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2019-03-05 |
| 1922580851 | Alfred S Macias | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2018-09-06 |
| 1013424324 | Luis Alfredo Nava | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2018-01-08 |
| 1235645557 | Lorie Lynn Nicholas | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2017-12-22 |
| 1508387473 | Jimmy Lacey | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2017-06-30 |
| 1619497427 | Cristian Gonzalez | Counselor | 1230 N Marengo Ave, Pasadena, CA 91103-2217 | 2017-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| 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 |
|---|---|---|---|---|
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1952842502 | Desiree Alvarado | Case Manager/Care Coordinator | 135 N Bonnie Ave, Pasadena, CA 91106-2103 | 2017-03-15 |
| 1073051835 | Joram Michael Matute | Case Manager/Care Coordinator | 500 S Los Robles Ave, Apt 305, Pasadena, CA 91101-3266 | 2017-02-01 |
| 1942667951 | Daisy Garcia | Case Manager/Care Coordinator | 2550 E Foothill Blvd Fl 1, Pasadena, CA 91107-3406 | 2016-01-21 |
| 1356716880 | Maria Gonzalez | Case Manager/Care Coordinator | 2500 E Foothill Blvd Ste 403, Pasadena, CA 91107-7119 | 2015-12-09 |
| 1316331945 | Theresa Ibarra | Case Manager/Care Coordinator | 2555 E Colorado Blvd Ste 308, Pasadena, CA 91107-6649 | 2015-03-20 |
| 1891196283 | Eric Bruce Rucker | Case Manager/Care Coordinator | 1245 E Walnut St Ste 117, Pasadena, CA 91106-5129 | 2014-09-04 |
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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.