MARCOS VIDRIO


Address: 1425 W Foothill Blvd Ste 310, Upland, CA 91786
Phone: 8775277227

MARCOS VIDRIO (NPI# 1265991426) 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) 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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
4300 Latham St Ste 200, Riverside, CA 925014334 8182351414
15212 Orchid St, Fontana, CA 923354345 9096346483

Office Location

Street Address 1425 W FOOTHILL BLVD STE 310
City UPLAND
State CA
Zip Code 91786

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City UPLAND
Zip Code 91786

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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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