JOHN BOUDREAU (NPI# 1285014191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285014191 |
| Entity Type | Individual |
| Full Name | JOHN BOUDREAU |
| Practice Address |
905 E 8th St Los Angeles CA 90021-1848 |
| Practice Telephone | 2135531800 |
| Practice Fax Number | 2133681366 |
| Mailing Telephone | 2135531800 |
| Mailing Fax Number | 2133681366 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2016-08-05 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338640 | John Anthony Boudreau | Orthopaedic Surgery | 3635 Vista Avenue, 7th Floor Desloge Towers, St Louis, MO 63110 | 2006-07-17 |
| Street Address |
905 E 8TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90021-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952442949 | Special Service for Groups, Inc. | Voluntary or Charitable | 905 E 8th St, Los Angeles, CA 90021-1848 | 2007-02-11 |
| 1043855638 | Vanessa Gallardo | Case Manager/Care Coordinator | 905 E 8th St, Los Angeles, CA 90021-1848 | 2019-11-07 |
| 1588166789 | Roseanna Low | Counselor | 905 E 8th St, Los Angeles, CA 90021 | 2018-03-02 |
| 1073898417 | Juan Burgueno | Case Manager/Care Coordinator | 905 E 8th St, Los Angeles, CA 90021-1848 | 2011-10-17 |
| 1891070231 | Nancy Watson | Case Manager/Care Coordinator | 905 E 8th St, Los Angeles, CA 90021-1848 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104222 | Para Los Ninos | Community/Behavioral Health | 835 Stanford Avenue, Los Angeles, CA 90021 | 2019-03-25 |
| 1750826293 | Dion David Thomas | Counselor | 600 E 7th Street #105, Los Angeles, CA 90021 | 2016-12-19 |
| 1255713921 | Stephanie Castillo | Counselor | 453 S. Indiana St., Los Angeles, CA 90021 | 2015-06-18 |
| 1700217437 | Gabriela Turcios | Counselor | 2116-2118 S. Central Ave, Los Angeles, CA 90021 | 2013-12-05 |
| 1033456934 | Brenda Denise Perez | Counselor | 838 Est. 6th Treet, Los Angeles, CA 90021 | 2013-01-11 |
| 1083885370 | Dina Moss | Rehabilitation Practitioner | 921 Compton Blv, Compton, CA 90021 | 2008-03-14 |
| 1760692339 | Deanna Perez | Physician Assistant | 515 E. 6th Street, Los Angeles, CA 90021 | 2007-05-23 |
| 1033322573 | Nguyen Trong Doan | Physician Assistant | 1663 Beverly Blvd., #201, Los Angeles, CA 90021 | 2007-05-08 |
| 1740834258 | Janette Lozada | Counselor | 849 E 6th St, Los Angeles, CA 90021 | 2019-08-01 |
| 1720530108 | Shauntell Watson | Counselor | 921 E Compton Blvd, Compton, CA 90021 | 2016-11-01 |
| Find all providers in zip 90021 | ||||
| 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 |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90021 |
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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.