PROJECT RAISED (NPI# 1194324020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194324020 |
| Entity Type | Organization |
| Organization Name | PROJECT RAISED |
| Practice Address |
3839 Amanda St Unit 133 West Covina CA 91792-2759 |
| Mailing Address |
3839 Amanda St Unit 133 West Covina CA 91792 |
| Practice Telephone | 3233361632 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. MICHAEL A GARCIA (CEO) |
| Authorized Official Telephone | 3233361632 |
| Authorized Official Credential | CASE MGR/CARE CO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3839 AMANDA ST UNIT 133 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91792-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1982062584 | Debra Robinson | Occupational Therapy Assistant | 2445 Arline Street, West Covina, CA 91792 | 2016-02-10 |
| 1427326503 | Ritzcare Health Services | Respite Care | 2707 E. Balley Blvd, Suite 307a, West Covina, CA 91792 | 2011-12-05 |
| 1164702478 | Arwin Kalaw | Nurse Practitioner | 1312 Oahu Street, West Covina, CA 91792 | 2011-08-18 |
| 1003110701 | Alexander Cariaga | Physical Therapy Assistant | 3532 Hedgerow Dr, West Covina, CA 91792 | 2011-01-10 |
| 1972831162 | Eternally Yours Hospice, Inc. | Hospice Care, Community Based | 2550 E. Amar Rd., Unit A1-g, West Covina, CA 91792 | 2009-11-26 |
| 1588830228 | Jun Li | Dentist | 2707 E. Valley Blvd., #301, West Covina, CA 91792 | 2008-05-02 |
| 1093991713 | Imelda Diaz Soto | Dentist | 1031 E Amar Rd, West Covina, CA 91792 | 2008-01-11 |
| 1588849608 | Sarah Jane Dancel-atendido | Dentist | 2707 E. Valley Blvd., Suite 200, West Covina, CA 91792 | 2008-01-08 |
| Find all providers in zip 91792 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1013204429 | Mark Massaro | Case Manager/Care Coordinator | 1248 E Swanee Ln, West Covina, CA 91790-1848 | 2011-07-06 |
| 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 | 91792 |
Please comment or provide details below to improve the information on PROJECT RAISED.
| 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.