EDWARD BERRIOS (NPI# 1245724699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245724699 |
| Entity Type | Individual |
| Full Name | EDWARD BERRIOS |
| Credential | BA |
| Practice Address |
1001 S State St Ste A Hemet CA 92543-7188 |
| Mailing Address |
Po Box 2686 Hemet CA 92546-2686 |
| Practice Telephone | 9513576959 |
| Practice Fax Number | 9513562115 |
| Mailing Telephone | 9513576959 |
| Mailing Fax Number | 9513562115 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
1001 S STATE ST STE A |
| City | HEMET |
| State | CA |
| Zip Code | 92543-7188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245667864 | Ashley N Carey | Counselor | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2013-09-27 |
| 1629685227 | Michael Perdue | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-09-28 |
| 1861009631 | Anita Davis | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-09-25 |
| 1518574383 | Buk Kang | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-09-25 |
| 1265059125 | Jose Calderon | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-06-26 |
| 1003442252 | Corrina Corral | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-03-19 |
| 1801422050 | Teagan Lugo | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-03-19 |
| 1114558921 | Daisy Sanchez | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-01-30 |
| 1073144887 | Stephanie Soto | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-01-30 |
| 1053942821 | James Rierson | Behavior Technician | 1001 S State St Ste A, Hemet, CA 92543-7188 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1033760525 | Christina Michelle Campos | Case Manager/Care Coordinator | 601 N Kirby St Spc 115, Hemet, CA 92545-5916 | 2019-09-25 |
| 1538605662 | Billology Medical Center | Case Manager/Care Coordinator | 133 Elmwood Ave, Hemet, CA 92543-5937 | 2017-01-12 |
| 1306044151 | Maria Trinidad Padilla | Case Manager/Care Coordinator | 42198 Crest Dr, Hemet, CA 92544-8455 | 2007-07-03 |
| 1902418767 | Jose Miguel Revelo | Case Manager/Care Coordinator | 1300 W Florida Ave Ste B, Hemet, CA 92543-4628 | 2020-08-21 |
| 1356900310 | Laty Shermaine Banks | Case Manager/Care Coordinator | 1300 W Florida Ave, Hemet, CA 92543-4612 | 2019-06-12 |
| 1679972657 | Bear Warrick-west | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2014-08-15 |
| 1447536495 | Cheryl Ann Buckner | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2011-10-21 |
| 1356591697 | Jennifer June White | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2008-09-23 |
| 1659562064 | Dimpa Teresa Long | Case Manager/Care Coordinator | 650 N State St, Hemet, CA 92543-2960 | 2007-08-09 |
| 1720293988 | Stephanie Olsen Williams I | Case Manager/Care Coordinator | 950 N State St, Ste.a, Hemet, CA 92543-1485 | 2007-05-11 |
| Find all providers in HEMET | ||||
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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.