MAYRA GUADALUPE SANDOVAL (NPI# 1225652381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225652381 |
| Entity Type | Individual |
| Full Name | MAYRA GUADALUPE SANDOVAL |
| Practice Address |
445 N San Joaquin St Stockton CA 95202-2026 |
| Practice Telephone | 2094448910 |
| Mailing Telephone | 2094448910 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| 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 |
|---|---|---|---|---|
| 1629519632 | Mayra Sandoval | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-03-10 |
| Street Address |
445 N SAN JOAQUIN ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396944336 | The Catholic Council for The Spanish Speaking of The Diocese of Stockt | Case Management | 445 N San Joaquin St, Stockton, CA 95202-2003 | 2007-07-11 |
| 1659971679 | Sadith Mariscal Velasquez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-28 |
| 1154928372 | Estefania Vargas | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
| 1316544539 | Aly Crystal Ramirez | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-10-01 |
| 1831702653 | Janet Moreno | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-08-31 |
| 1588277644 | Lidia Barraza | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2020-08-28 |
| 1326609769 | Edith Tapia | Counselor | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-06-26 |
| 1922662360 | Veronica Borrego Segovia-perez | Student in an Organized Health Care Education/Training Program | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-04-30 |
| 1093289613 | Nicole Deny Perez | Student in an Organized Health Care Education/Training Program | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2019-01-16 |
| 1295210516 | Ruth Sanchez | Case Manager/Care Coordinator | 445 N San Joaquin St, Stockton, CA 95202-2026 | 2018-10-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
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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 |
|---|---|---|---|---|
| 1518507821 | Ashlee Frazier | Case Manager/Care Coordinator | 4219 Heirloom Ct, Stockton, CA 95219-2508 | 2020-01-14 |
| 1841844982 | Imroz Sandhu | Case Manager/Care Coordinator | 1803 W March Ln, Stockton, CA 95207-6414 | 2019-07-26 |
| 1588160865 | Tyresha Williams | Case Manager/Care Coordinator | 1640 Tyrol Ln Apt 102, Stockton, CA 95207-6687 | 2018-04-04 |
| 1326408303 | Dewayne Thomas Zachary Jr. | Case Manager/Care Coordinator | 6508 Danny Dr Unit 227, Stockton, CA 95210-5352 | 2016-03-03 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1972991982 | Toni Tse | Case Manager/Care Coordinator | 2009 De La Vega Ct, Stockton, CA 95206-4750 | 2014-12-27 |
| 1013331131 | Cecilia Arredondo | Case Manager/Care Coordinator | 729 N. California St., Stockton, CA 95202 | 2014-02-10 |
| 1235476946 | Sonia D Oliver | Case Manager/Care Coordinator | 1764 W Rose St, Stockton, CA 95203-1526 | 2013-01-15 |
| 1528305273 | Shiawana A Hayes | Case Manager/Care Coordinator | 2119 Red Oak Ct, Stockton, CA 95205-2668 | 2013-01-14 |
| 1518231471 | Rhonda M. Bryant | Case Manager/Care Coordinator | 662 Dave Brubeck Way, # 4, Stockton, CA 95204-1835 | 2012-02-23 |
| Find all providers in STOCKTON | ||||
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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.