CARLOS GONZALEZ (NPI# 1265707996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265707996 |
| Entity Type | Individual |
| Full Name | CARLOS GONZALEZ |
| Practice Address |
890 S 10th St Fresno CA 93702-3506 |
| Practice Telephone | 5596006040 |
| Practice Fax Number | 5596001200 |
| Mailing Telephone | 5596006040 |
| Mailing Fax Number | 5596001200 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073172391 | Carlos Hector Gonzalez | Behavioral Analyst | 2100 Torena Way, Oxnard, CA 93030-6097 | 2019-06-11 |
| 1427519768 | Carlos Jose Gonzalez | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Jamaica, New York, NY 11432 | 2019-03-28 |
| 1740769850 | Carlos A Gonzalez | Nurse Practitioner | 6841 Dunoon Ct, Miami Lakes, FL 33014-6001 | 2018-08-09 |
| 1720588312 | Carlos G Gonzalez | Licensed Vocational Nurse | Po Box 261, Miles, TX 76861-0261 | 2018-02-20 |
| 1023468030 | Carlos Gonzalez | Home Health Aide | 1700 Sw 92nd Ave, Miami, FL 33165-7702 | 2016-06-21 |
| 1093180028 | Carlos Manuel Gonzalez | Dentist | 750 Nw 20th St # G110, Miami, FL 33127-4618 | 2015-12-02 |
| 1023480977 | Carlos Gonzalez | Specialist/Technologist, Other | 600 W Blue Jay Ave, Pharr, TX 78577-8816 | 2015-10-29 |
| 1124426242 | Carlos Jacobo Gonzalez Sr. | Community Health Worker | 2367 Calle Loma, Urb. Valle Alto, Ponce, PR 00730-4146 | 2014-12-06 |
| 1073919460 | Carlos Gonzalez | Massage Therapist | 1519 Burlington Rd, Cleveland Heights, OH 44118-1216 | 2014-11-12 |
| 1003229451 | Carlos Gonzalez | Specialist | 323 Whitewood Rd, Union, NJ 07083-8214 | 2014-06-03 |
| Street Address |
890 S 10TH ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780950451 | Melissa Cantu | Case Manager/Care Coordinator | 890 S 10th St, Fresno, CA 93702-3506 | 2012-03-28 |
| 1164797890 | Dona Moore | Case Manager/Care Coordinator | 890 S 10th St, Fresno, CA 93702-3506 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| 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 |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.