MARCOS VIDRIO (NPI# 1265991426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265991426 |
Entity Type | Individual |
Full Name | MARCOS VIDRIO |
Practice Address |
1425 W Foothill Blvd Ste 310 Upland CA 91786 |
Mailing Address |
27261 Las Ramblas Ste 220 Mission Viejo CA 92691-6468 |
Practice Telephone | 8775277227 |
Mailing Telephone | 9494205954 |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-07-15 |
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 | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4300 Latham St Ste 200, Riverside, CA 925014334 | 8182351414 | |
15212 Orchid St, Fontana, CA 923354345 | 9096346483 |
Street Address |
1425 W FOOTHILL BLVD STE 310 |
City | UPLAND |
State | CA |
Zip Code | 91786 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922357466 | Myrna Macias-prado | Counselor | 1425 W Foothill Blvd Ste 310, Upland, CA 91786-8007 | 2012-08-30 |
1356908644 | Janet Sarinana | Case Manager/Care Coordinator | 1425 W Foothill Blvd Ste 310, Upland, CA 91786-8007 | 2019-05-22 |
1487180279 | Sara Fae Kalapaca | Marriage & Family Therapist | 1425 W Foothill Blvd Ste 310, Upland, CA 91786 | 2017-05-11 |
1831523299 | Shawntres Ann Parks | Marriage & Family Therapist | 1425 W Foothill Blvd Ste 310, Upland, CA 91786-8007 | 2013-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
Find all providers in zip 91786 |
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 |
---|---|---|---|---|
1841777414 | Matthew Cathern Jr. | Case Manager/Care Coordinator | 222 N Mountain Ave., Ste 110 B, Upland, CA 91786-5714 | 2018-07-25 |
1063790491 | Fred Albert Gattas | Case Manager/Care Coordinator | 2440 San Antonio Cres E, Upland, CA 91784-1143 | 2011-08-02 |
1790934586 | Tomas Villalpando | Case Manager/Care Coordinator | 1425 W Foothill Blvd, Upland, CA 91786-8007 | 2008-09-16 |
1558494609 | Miriam A Castellanos | Case Manager/Care Coordinator | 770 Guadalupe Dr, Upland, CA 91786-3451 | 2007-03-14 |
1366088122 | Marcus Daerious Gitchuway | Case Manager/Care Coordinator | 1214 Eddington St, Upland, CA 91786-3440 | 2019-11-26 |
1215573803 | Cecia Lizbeth Cruz | Case Manager/Care Coordinator | 1425 W Foothill Blvd, Upland, CA 91786-8007 | 2019-11-19 |
1568006807 | Yasmine Wilson | Case Manager/Care Coordinator | 1425 W Foothill Blvd Fl 3, Upland, CA 91786-8007 | 2019-10-30 |
1396386629 | Alyssa Lopez | Case Manager/Care Coordinator | 1425 W Foothill Blvd, Upland, CA 91786-8007 | 2019-10-08 |
1598306631 | Ana Margarita Rodriguez | Case Manager/Care Coordinator | 1214 Eddington St, Upland, CA 91786-3440 | 2019-09-30 |
1588215834 | Shyanne Lynn Benjamin | Case Manager/Care Coordinator | 1425 W Foothill Blvd, Upland, CA 91786-8007 | 2019-09-26 |
Find all providers in UPLAND |
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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.