MISS PINGKAN LEILANI SIMAUW (NPI# 1275010852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275010852 |
| Entity Type | Individual |
| Full Name | MISS PINGKAN LEILANI SIMAUW |
| Practice Address |
10360 Rock St Mentone CA 92359 |
| Mailing Address |
10360 Rock St Mentone CA 92359-1291 |
| Practice Telephone | 9093618036 |
| Mailing Telephone | 9093618036 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
10360 ROCK ST |
| City | MENTONE |
| State | CA |
| Zip Code | 92359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861676033 | Laurel Elizabeth Slater | Registered Nurse | 34346 Fishhatchery Rd, Mentone, CA 92359 | 2007-12-24 |
| 1356530786 | Lisa M Coonrod | Registered Nurse | 34452 Fish Hatchery Rd, Mentone, CA 92359-0122 | 2007-10-22 |
| 1841759768 | Christy Hart | Counselor | 1336 Wabash Ave, Mentone, CA 92359-1124 | 2019-03-19 |
| 1790923753 | Rose Garden Residential Care | Alzheimer Center (Dementia Center) | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2009-01-29 |
| 1851639405 | Rose Garden Residential Operator, LLC | Assisted Living Facility | 1350 Wabash Ave, Mentone, CA 92359-1124 | 2013-01-16 |
| 1801150164 | Tania Marie Mccracken | Midwife | 1378 Turquoise Ave, Mentone, CA 92359-1257 | 2012-07-01 |
| 1033263298 | James Patrick Caley Dds | Dentist | 1856 Mentone Blvd Ste B, Mentone, CA 92359-1276 | 2007-01-23 |
| 1770803546 | Building A Generation | Early Intervention Provider Agency | 1320 Crafton Ave, Mentone, CA 92359-1318 | 2010-06-03 |
| 1710544713 | Elizabeth An Hess | Behavior Technician | 1365 Crafton Ave Apt 2092, Mentone, CA 92359-1354 | 2019-05-24 |
| 1346588811 | Vineet Kumar Sharma | Student in an Organized Health Care Education/Training Program | 10178 Basalt Ln, Mentone, CA 92359-1365 | 2013-01-17 |
| Find all providers in zip 92359 | ||||
| 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 |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
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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.