GUSTAVO REYES


Address: 1522 E 102nd St, Los Angeles, CA 90002-3338
Phone: 2133855100

GUSTAVO REYES (NPI# 1245742915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 1522 E 102ND ST
City LOS ANGELES
State CA
Zip Code 90002-3338

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90002

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Dataset Information

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.

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