RANDALL KE'SHAWN BROWN (NPI# 1306350541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350541 |
| Entity Type | Individual |
| Full Name | RANDALL KE'SHAWN BROWN |
| Practice Address |
1907 Boys Republic Dr Chino Hills CA 91709-5447 |
| Practice Telephone | 9096281217 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| 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 |
|---|---|---|---|---|
| 1730307737 | Randall H Brown | Dentist | 510 S Euclid Ave, Bay City, MI 48706-3208 | 2007-04-23 |
| 1780783118 | Randall K Brown | Dentist | 1330 First Avenue, Evansville, IN 47724 | 2006-09-22 |
| 1881681393 | Randall A Brown | Internal Medicine | 265 W Ina Rd, Tucson, AZ 85704-6204 | 2005-09-29 |
| 1174529390 | Randall C Brown | Dentist | 902 W 25th St, Sanford, FL 32771-4236 | 2005-06-22 |
| 1124516398 | Randall Brown | Student in an Organized Health Care Education/Training Program | 550 S Jackson St Fl St3, Louisville, KY 40202-1622 | 2018-04-24 |
| 1780185306 | Randall Brown | Behavior Technician | 648 Independence Pkwy, Chesapeake, VA 23320-5206 | 2018-02-28 |
| 1144437765 | Randall A Brown | Physical Therapist | 3915 8th Ave W, Bradenton, FL 34205-1701 | 2007-05-16 |
| 1780898239 | Randall Simpson Brown | Family Medicine | 1413 N Elm St, Suite 204, Henderson, KY 42420-2768 | 2007-05-10 |
| 1982793659 | Randall Anthnony Brown | Pharmacist | 4328 S Buffalo St, Orchard Park, NY 14127-2638 | 2006-10-12 |
| 1598773806 | Randall A. Brown | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-08-03 |
| Street Address |
1907 BOYS REPUBLIC DR |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053489567 | David John Palmer | Social Worker | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2006-12-01 |
| 1366050726 | Aaron-john Villon | Counselor | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-07-21 |
| 1083237358 | Taylor Shannon Quaranta | Marriage & Family Therapist | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-21 |
| 1427671916 | Brittney Lewis | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-19 |
| 1568084176 | Jocael Suarez | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-18 |
| 1528699808 | Monica Zamora | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1437780780 | Kaiameka Brown | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1699315457 | Auston Johnson | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1073153813 | Cedric Julius | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1780224576 | Joseph Raymond Mascarenaz | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| 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 |
|---|---|---|---|---|
| 1427671916 | Brittney Lewis | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-19 |
| 1568084176 | Jocael Suarez | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-05-18 |
| 1528699808 | Monica Zamora | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1437780780 | Kaiameka Brown | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-27 |
| 1699315457 | Auston Johnson | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1073153813 | Cedric Julius | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1780224576 | Joseph Raymond Mascarenaz | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2020-01-09 |
| 1598316069 | Diana Yvette Flores | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2019-09-25 |
| 1306313978 | Danielle Kayleen Lopez | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2018-10-31 |
| 1336615855 | Marcus Martell Barnes | Case Manager/Care Coordinator | 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | 2018-10-23 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.