MR. ANTHONY MORRIS BACA (NPI# 1225222813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225222813 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY MORRIS BACA |
| Practice Address |
1330 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9095803723 |
| Mailing Telephone | 9094230750 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2015-01-27 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923302 | Anthony Ray Baca | Nurse Practitioner | 3901 W 15th St, Plano, TX 75075-7738 | 2015-01-27 |
| 1720398159 | Anthony Jacob Baca Jr. | Rehabilitation Practitioner | 5105 Smoke Ranch Rd, Las Vegas, NV 89108-3536 | 2010-10-19 |
| 1508170408 | Anthony L Baca | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2010-08-03 |
| 1932372257 | Anthony Peter Baca | Counselor | 1101 Medical Arts Ave Ne, Building #3, Albuquerque, NM 87102-2706 | 2008-04-08 |
| Street Address |
1330 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457459877 | Randall Lyle Kerr | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2006-09-20 |
| 1417569070 | Veronica Saenz | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-08-17 |
| 1255957486 | Dpartment of Behavioral Health | Clinic/Center | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-06-23 |
| 1871113548 | Winston James Williams | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2020-04-22 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1437658929 | Mary Sodiyan | Registered Nurse | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2018-02-09 |
| 1982124897 | Elizabeth Marie Maldonado | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-21 |
| 1346778446 | Zachary Robert Eckert | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-06-01 |
| 1972030575 | Angel Magallanes | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-05-15 |
| 1740720580 | Melissa Daniels | Counselor | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| 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 |
|---|---|---|---|---|
| 1104452499 | Edith Lucero Aguilar | Case Manager/Care Coordinator | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-03-18 |
| 1275165243 | Crystal Castro | Case Manager/Care Coordinator | 1461 E Cooley Dr Ste 100, Colton, CA 92324-3921 | 2020-02-07 |
| 1891331484 | Mariella Sanchez | Case Manager/Care Coordinator | 1461 E Cooley Dr Ste 100, Colton, CA 92324-3921 | 2019-11-19 |
| 1609419373 | Sarah Flores | Case Manager/Care Coordinator | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-10-24 |
| 1942843966 | Enriqueta Little | Case Manager/Care Coordinator | 1430 E Cooley Dr, Colton, CA 92324-3934 | 2019-10-22 |
| 1528609872 | Jennifer Ledezma Ceniceros | Case Manager/Care Coordinator | 1461 E Cooley Dr Ste 100, Colton, CA 92324-3921 | 2019-10-07 |
| 1558912949 | Tempest Lapia Willoughby | Case Manager/Care Coordinator | 1430 E Cooley Dr Ste 111, Colton, CA 92324-3944 | 2019-09-26 |
| 1053962852 | Jose Roberto Castillo | Case Manager/Care Coordinator | 1461 E Cooley Dr Ste 100, Colton, CA 92324-3921 | 2019-09-23 |
| 1114579117 | Shaneece Williams | Case Manager/Care Coordinator | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2019-07-10 |
| 1750945499 | Christian Manuel Trejo | Case Manager/Care Coordinator | 790 Via Lata Ste 300, Colton, CA 92324-3978 | 2019-04-29 |
| Find all providers in COLTON | ||||
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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.