DEANDRE COOPER (NPI# 1205216801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205216801 |
| Entity Type | Individual |
| Full Name | DEANDRE COOPER |
| Practice Address |
12206 S Wilmington Ave Compton CA 90222-1283 |
| Mailing Address |
958 E 108th St Los Angeles CA 90059-1008 |
| Practice Telephone | 3107636752 |
| Practice Fax Number | 3235635671 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
12206 S WILMINGTON AVE |
| City | COMPTON |
| State | CA |
| Zip Code | 90222-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859587 | Watts Labor Community Action Committee | Rehabilitation Practitioner | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2007-03-15 |
| 1417594953 | Elyse Green | Social Worker | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2019-12-03 |
| 1225561921 | Brittney Lewis | Counselor | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2017-04-10 |
| 1295109056 | Linah Zayed | Counselor | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2015-11-17 |
| 1487779716 | Latanya Michelle Williams | Case Manager/Care Coordinator | 12206 S Wilmington Ave, Compton, CA 90222-1283 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023497195 | Briana Porter | Clinic/Center | 14102 S. Hillford Ave, Compton, CA 90222 | 2015-05-22 |
| 1467795203 | Maita Siti Kuvhenguhwa | Internal Medicine | 2251 W Rosecrans Ave Ste 18-21, Compton, CA 90222 | 2013-03-29 |
| 1407108194 | Paula Celeste Mcalpin | Registered Nurse | 2110a N. Santa Fe Ave, Compton, CA 90222 | 2012-10-05 |
| 1790035129 | Danielle Cameron | Social Worker | 2010 E.el Segundo, Compton, CA 90222 | 2012-09-13 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1962683938 | We Care More II Family Clinic | Nurse Practitioner | 2110a N Santa Fe Ave, Compton, CA 90222 | 2007-11-19 |
| 1588843155 | Cynthia Y. Lidy Dba We Care More II Family Clinic | Nurse Practitioner | 2110 A N. Santa Fe Ave, Compton, CA 90222 | 2007-10-30 |
| 1134262322 | Dershsuan Lii | Dentist | 2115 N.wilmington Ave, Compton, CA 90222 | 2007-02-15 |
| 1134272032 | Karen Kincey | Physician Assistant | 25825 S. Normandie Ave., Harbor City, CA 90222 | 2007-01-22 |
| 1528324381 | David Tobey | Surgery | 2251 W Rosecrans Ave Ste 21, Compton, CA 90222 | 2012-04-05 |
| Find all providers in zip 90222 | ||||
| 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 |
|---|---|---|---|---|
| 1760933683 | Marysol Figueroa | Case Manager/Care Coordinator | 1937 E El Segundo Blvd Apt 10, Compton, CA 90222-2145 | 2016-10-14 |
| 1578942389 | Margarita Jaime | Case Manager/Care Coordinator | 2235 E Piru St, Compton, CA 90222-2910 | 2015-05-26 |
| 1508286105 | Carl Wayne Henderson | Case Manager/Care Coordinator | 1303 W. Parkway, Compton, CA 90220-5030 | 2014-04-22 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| 1972735744 | Nesreen Samy Michael | Case Manager/Care Coordinator | 200 W Compton Blvd Ste 300, Compton, CA 90220-3136 | 2009-08-12 |
| 1417114851 | Robert Ernest Jones | Case Manager/Care Coordinator | 921 E Compton Blvd., Compton, CA 90221 | 2008-05-22 |
| 1922291673 | Raye Evelyn Williams | Case Manager/Care Coordinator | 1303 Walnut Parkway, Compton, CA 90220-5804 | 2007-08-24 |
| 1356437495 | Luis Garcia | Case Manager/Care Coordinator | 2010 E El Segundo Blvd, Compton, CA 90222-7109 | 2006-10-05 |
| 1790317444 | Devon Howard | Case Manager/Care Coordinator | 600 N Alameda St, Compton, CA 90221-2605 | 2020-02-11 |
| 1841837721 | Mauricio Emanuel Lopez | Case Manager/Care Coordinator | 509 E Rosecrans Ave, Compton, CA 90221-2056 | 2019-12-10 |
| Find all providers in COMPTON | ||||
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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.