STEPHANIE MARLENE SANDOVAL (NPI# 1154954691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154954691 |
Entity Type | Individual |
Full Name | STEPHANIE MARLENE SANDOVAL |
Practice Address |
510 W Main St Ste 104 El Centro CA 92243-2900 |
Mailing Address |
Po Box 2219 El Centro CA 92244-2219 |
Practice Telephone | 7603537304 |
Practice Fax Number | 7603522512 |
Mailing Telephone | 7603377304 |
Mailing Fax Number | 7603522512 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952951345 | Stephanie Anahy Sandoval | Behavioral Analyst | 104 N Normandie Ave Apt 2, Los Angeles, CA 90004-4580 | 2019-09-17 |
1154946010 | Stephanie Anne Sandoval | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2020-06-16 |
1821550567 | Stephanie Rayline Sandoval | Marriage & Family Therapist | 4325 W Sunset Blvd Ste 206, Los Angeles, CA 90029-2180 | 2019-04-02 |
1659835494 | Stephanie Sandoval | Behavior Technician | 4204a Adams Ave, San Diego, CA 92116-2300 | 2019-01-25 |
1649748898 | Stephanie Giovany Sandoval | Audiologist-Hearing Aid Fitter | 55 Office Park Dr, Jacksonville, NC 28546-7327 | 2018-11-06 |
1821447541 | Stephanie Michelle Sandoval | Student in an Organized Health Care Education/Training Program | 55 E 18th St, Antioch, CA 94509-2450 | 2016-06-03 |
Street Address |
510 W MAIN ST STE 104 |
City | EL CENTRO |
State | CA |
Zip Code | 92243-2900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629406442 | Womanhaven, Inc. | Case Management | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2013-10-15 |
1134730344 | Guadalupe Gonzalez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2020-08-11 |
1720614308 | Isabel Chavez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2020-03-16 |
1902440605 | Stephen Robert Le Masters | Counselor | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2019-11-05 |
1164063723 | Karen Piceno | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2019-10-04 |
1811541030 | Alexandra Wyatt | Counselor | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2019-07-25 |
1770067761 | Paola Janine Hernandez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
1912481904 | Manuel Rene Meneses Hernandez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
1710461710 | Ramona Jeanette Esquer | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
1790269785 | Ruby Ynez Enriquez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
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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 |
---|---|---|---|---|
1093212623 | Angela Marie Pascua | Case Manager/Care Coordinator | 510 W Main St Ste 106, El Centro, CA 92243-2900 | 2018-04-10 |
1588045645 | Julissa Cazares | Case Manager/Care Coordinator | 935 Broadway Ave, El Centro, CA 92243-2349 | 2015-06-15 |
1295912954 | Denise Hickman Morris | Case Manager/Care Coordinator | 2995 S 4th St Ste 102, El Centro, CA 92243-6007 | 2008-01-24 |
1689851453 | Erika Yacqueline Espinoza | Case Manager/Care Coordinator | 1331 S Clark Rd Bldg 11, El Centro, CA 92243-9516 | 2008-01-23 |
1134730344 | Guadalupe Gonzalez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2020-08-11 |
1720614308 | Isabel Chavez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2020-03-16 |
1164063723 | Karen Piceno | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2019-10-04 |
1770067761 | Paola Janine Hernandez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
1912481904 | Manuel Rene Meneses Hernandez | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
1710461710 | Ramona Jeanette Esquer | Case Manager/Care Coordinator | 510 W Main St Ste 104, El Centro, CA 92243-2900 | 2018-09-17 |
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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.