BIOACTIVE THERAPEUTICS (NPI# 1275506784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275506784 |
| Entity Type | Organization |
| Organization Name | BIOACTIVE THERAPEUTICS |
| Practice Address |
3499 Brookside Rd Suite F Stockton CA 95219-1784 |
| Practice Telephone | 9162880578 |
| Mailing Telephone | 9162880578 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-10-15 |
| Authorized Official Name | DR. DONALD MATTHEW COTTMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9162880578 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
3499 BROOKSIDE RD SUITE F |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-1784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746617 | Lao Family Community Empowerment, Inc. | Case Management | 8338 West Ln Ste 105, Stockton, CA 95210-3145 | 2016-08-31 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1235521774 | Intellicare Services LLC | Case Management | 10410 Rudder Way, Stockton, CA 95209-4348 | 2015-02-20 |
| 1760873533 | Intellicare Services LLC | Case Management | 1630 N Edison St, Stockton, CA 95204-5633 | 2015-02-13 |
| 1386059541 | Public Health Services | Case Management | 1601 E. Hazelton Ave., Stockton, CA 95201-2009 | 2014-06-26 |
| 1992121388 | Catholic Charities | Case Management | 1106 N El Dorado St Ste A, Stockton, CA 95202-1332 | 2014-03-10 |
| 1396944336 | The Catholic Council for The Spanish Speaking of The Diocese of Stockt | Case Management | 445 N San Joaquin St, Stockton, CA 95202-2003 | 2007-07-11 |
| 1457891640 | Shyla White | Case Management | 440 N El Dorado St, Stockton, CA 95202-1950 | 2017-03-07 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1801261698 | Unseenxs | Case Management | 10940 Trinity Pkwy # C-129, Stockton, CA 95219-7234 | 2015-12-06 |
| Find all providers in STOCKTON | ||||
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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.