GUSTAVO REYES (NPI# 1245742915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245742915 |
Entity Type | Individual |
Full Name | GUSTAVO REYES |
Practice Address |
1522 E 102nd St Los Angeles CA 90002-3338 |
Mailing Address |
10221 S. Compton Avenue Suites 104, 202, 203 Los Angeles CA 90002-2802 |
Practice Telephone | 2133855100 |
Mailing Telephone | 3107834677 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |
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 |
1522 E 102ND ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90002-3338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
1144702564 | Lea Marie Tanasale | Student in an Organized Health Care Education/Training Program | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-31 |
1285113696 | Rosemarie Garcia | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-08-08 |
1689171100 | Robin Elaine Leach | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-11 |
1285131805 | Raquel Joan Parker | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
1801393426 | Ana Lucia Paz | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
1376040998 | Jennifer Cristina Aquino | Case Manager/Care Coordinator | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-10 |
1629575600 | Amy Marie Cornwall | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2018-04-06 |
1578076204 | Lucia Isabel Johnson | Marriage & Family Therapist | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-11-16 |
1275044646 | Olivia Crosby | Behavioral Analyst | 1522 E 102nd St, Los Angeles, CA 90002-3338 | 2017-10-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790336253 | Ernest Durden | Technician | 10321 Standford Avenue, Los Angeles, CA 90002 | 2019-09-26 |
1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
1003373549 | Bridget Benninger | Marriage & Family Therapist | 10044 Compton Ave., Los Angeles, CA 90002 | 2019-02-20 |
1669954400 | Lorena Fajardo | Case Manager/Care Coordinator | 1776 E Century Bolvd, Los Angeles, CA 90002 | 2018-08-29 |
1467963256 | Special Service for Groups, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2178 Firestone Blvd, Los Angeles, CA 90002 | 2017-10-19 |
1699294991 | Priscilla Morales | Marriage & Family Therapist | 10221 Compton Ave Ste 104&203, Los Angeles, CA 90002 | 2017-09-18 |
1649795246 | Tara Moore | Counselor | 1968 East 103rd Street, Los Angeles, CA 90002 | 2017-08-04 |
1689198673 | Yeny Alexandra Guarin | Social Worker | 1776 East Century Blvd, Los Angeles, CA 90002 | 2017-08-01 |
1144771452 | Paulette Madrigal | Case Manager/Care Coordinator | 10044 Compton Ave, Los Angeles, CA 90002 | 2016-10-21 |
1134675853 | Jong Cho | Pharmacist | 1645 E. 103rd St, La, CA 90002 | 2016-09-01 |
Find all providers in zip 90002 |
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 |
---|---|---|---|---|
1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90002 |
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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.