CASIA JORDAN (NPI# 1245703024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245703024 |
| Entity Type | Individual |
| Full Name | CASIA JORDAN |
| Practice Address |
9500 Haven Ave Rancho Cucamonga CA 91730-5807 |
| Mailing Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691-6468 |
| Practice Telephone | 9099806700 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
9500 HAVEN AVE |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356434138 | Jennifer Ann Houger | Counselor | 9500 Haven Ave, Suite 100, Rancho Cucamonga, CA 91730-5807 | 2006-10-02 |
| 1437782059 | Kristen A King | Marriage & Family Therapist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2020-02-21 |
| 1790332310 | Kaitlyn Nicole Hurley | Marriage & Family Therapist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-08-19 |
| 1356994941 | Kendall Laurice Connor | Counselor | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-07-23 |
| 1780236422 | Linda Gomez | Counselor | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-07-12 |
| 1184286593 | Andy Nguyen Le | Counselor | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-07-05 |
| 1710540216 | Mirella Hernandez Michel | Interpreter | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-04-19 |
| 1780143602 | Sekouya L Limbrick | Case Manager/Care Coordinator | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-03-19 |
| 1720548555 | Aimee Nicole Benitez | Peer Specialist | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-03-19 |
| 1629537618 | Uriah Warner | Case Manager/Care Coordinator | 9500 Haven Ave, Rancho Cucamonga, CA 91730-5807 | 2019-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| 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 |
|---|---|---|---|---|
| 1255749636 | Jessica Williams | Case Manager/Care Coordinator | 9500 New Haven Avenue, Rancho Cucamonga, CA 91730 | 2014-07-29 |
| 1326485616 | Jenee Christine Angel | Case Manager/Care Coordinator | 8255 Vineyard Ave Apt 1000h, Rancho Cucamonga, CA 91730-7182 | 2013-05-28 |
| 1366717498 | Nimfa Ancheta Ruiz | Case Manager/Care Coordinator | 12730 Foothill Blvd, Unit 101, Rancho Cucamonga, CA 91739-9384 | 2012-03-22 |
| 1871721290 | Karen Mouawad | Case Manager/Care Coordinator | 8303 Haven Avenue, Rancho Cucamonga, CA 91730 | 2009-06-24 |
| 1548446784 | Jerry Jacob Sefiane | Case Manager/Care Coordinator | 13899 Dove Canyon Way, Rancho Cucamonga, CA 91739-2272 | 2008-01-17 |
| 1730277856 | Angela Moreno | Case Manager/Care Coordinator | 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5871 | 2006-10-11 |
| 1013553296 | Brian Beckette | Case Manager/Care Coordinator | 9227 Haven Ave Ste 300, Rancho Cucamonga, CA 91730-8555 | 2019-11-21 |
| 1083257018 | Karla L. Vega | Case Manager/Care Coordinator | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-10-22 |
| 1255982419 | Gloria Hernandez | Case Manager/Care Coordinator | 9166 Anaheim Pl, Rancho Cucamonga, CA 91730-8541 | 2019-09-27 |
| 1700434875 | Tyler Hardge | Case Manager/Care Coordinator | 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730-5842 | 2019-08-30 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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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.