JAE RYONG SHIN (NPI# 1336284157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336284157 |
| Entity Type | Individual |
| Full Name | JAE RYONG SHIN |
| Practice Address |
550 W Vista Way Ste 206 Vista CA 92083-5736 |
| Mailing Address |
3030 Fruitland Dr Vista CA 92084-1504 |
| Practice Telephone | 7607249112 |
| Mailing Telephone | 7607589086 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
550 W VISTA WAY STE 206 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-5736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225105877 | Fran Horvath | Case Manager/Care Coordinator | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2006-11-29 |
| 1164782082 | Mahdieh Arabshahi | Counselor | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2012-05-24 |
| 1295005270 | Calin Cionca | Counselor | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2012-01-06 |
| 1770885543 | Laura Jean Marsh | Social Worker | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2010-11-29 |
| 1487783973 | Mary Catherine Winchester | Case Manager/Care Coordinator | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2007-03-02 |
| 1629146410 | Jennifer Anna Hoffman | Counselor | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| 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 |
|---|---|---|---|---|
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1114343167 | Yannette Juarez Meza | Case Manager/Care Coordinator | 1030 Louie Pl, Vista, CA 92084-4337 | 2014-03-14 |
| 1598099384 | Green Health Alternative Care Center | Case Manager/Care Coordinator | 950 E Vista Way Ste A2, Vista, CA 92084-5252 | 2009-09-25 |
| 1164628970 | Julieta Polanco | Case Manager/Care Coordinator | 846 Williamston St, Vista, CA 92084-5245 | 2007-06-27 |
| 1679781074 | Irma Cazarez | Case Manager/Care Coordinator | 1627 Fawley Ln, Vista, CA 92083-7622 | 2007-05-18 |
| 1073734687 | Yolanda Rhode Worley | Case Manager/Care Coordinator | 1830 Thibodo Rd, #201, Vista, CA 92081-7570 | 2007-05-01 |
| 1225105877 | Fran Horvath | Case Manager/Care Coordinator | 550 W Vista Way Ste 206, Vista, CA 92083-5736 | 2006-11-29 |
| 1316501562 | Vista Community Clinic | Case Manager/Care Coordinator | 1000 Vale Terrace Dr, Vista, CA 92084-5218 | 2019-04-23 |
| 1770099129 | Yesenia Ruvi Ramos | Case Manager/Care Coordinator | 465 La Tortuga Dr, Vista, CA 92081-4320 | 2017-12-21 |
| 1629583349 | Silvia Alcantar | Case Manager/Care Coordinator | 465 La Tortuga Dr, Vista, CA 92081-4320 | 2017-12-04 |
| Find all providers in VISTA | ||||
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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.